Braden, Kelly Ann

Braden, Kelly Ann is an sole proprietor health care provider with primary practice located at 2080 Chambliss Ave Nw Cleveland Anesthesiologists Inc, Cleveland TN 37311-3894. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Braden, Kelly Ann can be contacted via phone (423) 472-6514.

Contact Information

Primary practice address
2080 Chambliss Ave Nw Cleveland Anesthesiologists Inc Cleveland TN 37311-3894
Phone: (423) 472-6514
Fax: (423) 476-2062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN83320 Tennessee

Profile Details

NPI number 1336120609
LBN Legal business name Braden, Kelly Ann
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Mar 9th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336120609 NPPES
Tennessee MEDICAID 3626782

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