Dula, Kelly S

Dula, Kelly S is an individual health care provider with primary practice located at 36000 Euclid Ave , Willoughby OH 44094-4625. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Dula, Kelly S can be contacted via phone (440) 350-0832.

Contact Information

Primary practice address
36000 Euclid Ave Willoughby OH 44094-4625
Phone: (440) 350-0832
Fax: (440) 579-0191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN304555 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN.CRNA.11083 Ohio

Profile Details

NPI number 1871826735
LBN Legal business name Dula, Kelly S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2009
Last updated Apr 1st, 2020 - about 4 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 1871826735 NPPES
Ohio MEDICAID 3014866

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