Kellie K Birch, CRNA
Nurse Anesthetist, Certified Registered in Hollywood, FL. Individual provider (NPI-1).
NPI number1356455075
StatusActive
Last updated in NPPESJul 10, 2024
Details
- NPI
- 1356455075
- Entity type
- Individual (NPI-1)
- Name
- Kellie K Birch
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2006
- Certification date
- Jul 10, 2024
- Last updated
- Jul 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11010950 | FL | Yes |
Practice location
11011 Sheridan St Ste 106Hollywood, FL 33026-1501
Phone 954-435-0101 · Fax 954-435-0125
Mailing address
9500 S Dadeland Blvd Ste 200Miami, FL 33156-2866
Phone 786-530-3820
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