Kelly Ray Shantz in Fairmont - Nurse Anesthetist, Certified Registered
Kelly Ray Shantz - NPI 1477540995
Kelly Ray Shantz is a Nurse Anesthetist, Certified Registered in Fairmont, Minnesota. Kelly Ray Shantz practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Kelly Ray Shantz is 1477540995. The last update date is 2020-09-17.
Kelly Ray Shantz's current location address is 800 Medical Center Dr, Fairmont, Minnesota. You can contact this provider via phone number 5072388555. The mailing address for Kelly Ray Shantz is 800 Medical Center Dr, Fairmont, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Ray Shantz |
|---|---|
| Address | 800 Medical Center Dr, Fairmont, Minnesota |
| Phone Number | 5072388555 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1477540995 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2020-09-17 |
Provider Mailing Address Detail
| Address | 800 Medical Center Dr |
|---|---|
| City | Fairmont |
| State | Minnesota (MN) |
| Post Code | 560314575 |
| Phone Number | 5072388555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R 162289-8 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kelly Ray Shantz by the Centers for Medicare & Medicaid Services?
The Kelly Ray Shantz has been assigned the NPI (National Provider Identifier) 1477540995 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kelly Ray Shantz is geographically located?
The Kelly Ray Shantz is physically situated at the following location: 800 Medical Center Dr, Fairmont, MN, 560314575.
What is Kelly Ray Shantz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly Ray Shantz is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.
On what date did the Kelly Ray Shantz receive the assignment of its 1477540995 from the Centers for Medicare & Medicaid Services?
The Kelly Ray Shantz was issued its 1477540995 by the Centers for Medicare & Medicaid Services on 2005-09-29.
When was the information regarding Kelly Ray Shantz most recently updated?
The details pertaining to the Kelly Ray Shantz, including its address, specialty, and other relevant information, were last refreshed on 2020-09-17.