KELLY BACON

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1700844313

Practice Address

1301 E LINCOLN RD
Idabel, OK 74745

Phone: (580) 286-7623

Specialties

Specialty Code Primary License
Anesthesiologist Assistant 367H00000X No R0071221 (OK)
Nurse Anesthetist, Certified Registered 367500000X Yes R0071221 (OK)

Frequently Asked Questions

NPI 1700844313 is the National Provider Identifier for KELLY BACON, a Nurse Anesthetist, Certified Registered provider located in Idabel, OK. This NPI was enumerated on May 3, 2006.
KELLY BACON practices at 1301 E LINCOLN RD, Idabel, OK 74745.

Quick Facts

NPI
1700844313
Type
Individual
Enumerated
May 3, 2006
Last Updated
Oct 26, 2021

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