KELLY MATHISON

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1073881629

Practice Address

703 N MCEWAN ST
Clare, MI 48617

Phone: (898) 802-5000

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 4704254007 (MI)
Nurse Anesthetist, Certified Registered 367500000X Yes 4704254007 (MI)

Frequently Asked Questions

NPI 1073881629 is the National Provider Identifier for KELLY MATHISON, a Nurse Anesthetist, Certified Registered provider located in Clare, MI. This NPI was enumerated on December 11, 2011.
KELLY MATHISON practices at 703 N MCEWAN ST, Clare, MI 48617.

Quick Facts

NPI
1073881629
Type
Individual
Enumerated
Dec 11, 2011
Last Updated
Sep 4, 2013

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