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Kelly Ann Bock, CRNA

Nurse Anesthetist, Certified Registered in Joplin, MO. Individual provider (NPI-1).

NPI number1104480219
StatusActive
Last updated in NPPESOct 11, 2019

Details

NPI
1104480219
Entity type
Individual (NPI-1)
Name
Kelly Ann Bock
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 24, 2019
Last updated
Oct 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered2019019657MOYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1102 W 32nd St
Joplin, MO 64804-3503

Phone 417-347-1111

Mailing address

Po Box 3810
Joplin, MO 64803-3810

Phone 417-347-6605

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