| Kristen Kelly, CRNA | |
|
55 Schanck Rd, Suite 8a, Freehold, NJ 07728-2964 | |
| (732) 431-9544 | |
| (732) 431-9313 |
| Full Name | Kristen Kelly |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 55 Schanck Rd, Freehold, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457403313 | NPI | - | NPPES |
| 016539PJN | Other | NJ | MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26NR08801200 (New Jersey) | Primary |
| Entity Name | Specialty Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932290111 PECOS PAC ID: 3577512789 Enrollment ID: O20050114000208 |
| Entity Name | Allied Digestive Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265831259 PECOS PAC ID: 5991027583 Enrollment ID: O20141210001569 |
| Entity Name | Parkway Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518319755 PECOS PAC ID: 2567758931 Enrollment ID: O20160912000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Kelly, CRNA 55 Schanck Rd, Suite 8a, Freehold, NJ 07728-2964 Ph: (732) 431-9544 | Kristen Kelly, CRNA 55 Schanck Rd, Suite 8a, Freehold, NJ 07728-2964 Ph: (732) 431-9544 |
Charis Concepcion, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 W Main St, Freehold, NJ 07728 Phone: 732-688-6536 | |
Sharon L Morgan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 55 Schanck Rd, Suite 8a, Freehold, NJ 07728 Phone: 733-431-9544 Fax: 732-431-9313 | |
Ms. Elzbieta Samojluk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 W Main St, Freehold, NJ 07728 Phone: 732-294-2875 Fax: 732-780-2935 | |
Mrs. Katy Moll Ndrenika, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 901 W Main St, Freehold, NJ 07728 Phone: 954-939-5589 | |
Katy M Gaeta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Schanck Rd, Suite 8a, Freehold, NJ 07728 Phone: 732-431-9544 Fax: 732-431-9313 | |
Audain Pierre Jr., CRNA, APN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 W Main St, Freehold, NJ 07728 Phone: 732-294-2876 |