Kelley, Grace

Kelley, Grace is an individual health care provider with primary practice located at 140 Grandview Ave , Waterbury CT 06708-2505. 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. Kelley, Grace can be contacted via phone (203) 757-7000.

Contact Information

Primary practice address
140 Grandview Ave Waterbury CT 06708-2505
Phone: (203) 757-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X E57685 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 003750 Connecticut

Profile Details

NPI number 1285839282
LBN Legal business name Kelley, Grace
Credentials CRNA, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Aug 7th, 2015 - about 10 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 1285839282 NPPES
Connecticut Other E57685 RN LICENCES

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