| Mr Thomas Patrick Kelly, CRNA | |
|
2301 Eastern Ave, Red Oak, IA 51566-0498 | |
| (712) 623-7000 | |
| (712) 623-7224 |
| Full Name | Mr Thomas Patrick Kelly |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2301 Eastern Ave, Red Oak, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821084609 | NPI | - | NPPES |
| 0455543 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D058063 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Patrick Kelly, CRNA Po Box 498, Red Oak, IA 51566-0498 Ph: (712) 623-7000 | Mr Thomas Patrick Kelly, CRNA 2301 Eastern Ave, Red Oak, IA 51566-0498 Ph: (712) 623-7000 |
Mr. Donald R Sabo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 Eastern Ave, Red Oak, IA 51566 Phone: 712-623-7000 Fax: 712-623-7224 | |
Adrienne A Rochleau, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1400 Senate Ave, Red Oak, IA 51566 Phone: 712-623-7000 |