Kelley, Shirley A

Kelley, Shirley A is an individual health care provider with primary practice located at 8001 Youree Dr , Shreveport LA 71115-2302. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Kelley, Shirley A can be contacted via phone (318) 212-3220.

Contact Information

Primary practice address
8001 Youree Dr Shreveport LA 71115-2302
Phone: (318) 212-3220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN036895 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN036895AP02547 Louisiana

Profile Details

NPI number 1013991801
LBN Legal business name Kelley, Shirley A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Aug 25th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013991801 NPPES
Louisiana MEDICAID 1901822

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