| Katherine T Kelley, CRNA | |
|
1155 5th St Se, Cairo, GA 39828-3142 | |
| (229) 377-1150 | |
| Not Available |
| Full Name | Katherine T Kelley |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 1155 5th St Se, Cairo, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770981086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN213485 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grady General Hospital | Cairo, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grady General Hospital | 7618866518 | 23 |
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| Entity Name | Grady General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013961507 PECOS PAC ID: 7618866518 Enrollment ID: O20040310001254 |
| Entity Name | Bainbridge Anesthesiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518939875 PECOS PAC ID: 3678465002 Enrollment ID: O20040329001150 |
| Entity Name | Anesthetic Solutions Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114567260 PECOS PAC ID: 2163857061 Enrollment ID: O20210729003985 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine T Kelley, CRNA Po Box 235019, Montgomery, AL 36123-5019 Ph: (334) 279-1450 | Katherine T Kelley, CRNA 1155 5th St Se, Cairo, GA 39828-3142 Ph: (229) 377-1150 |
Mr. Stephen W Pearce, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1155 5th St Se, Cairo, GA 39828 Phone: 229-377-0251 Fax: 229-377-7953 | |
Mr. Henry T Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1155 5th St Se, Somnus Anesthesia, Inc, Cairo, GA 39828 Phone: 229-225-8017 |