Shantz, Kelly Ray
Shantz, Kelly Ray is an individual health care provider with primary practice located at 800 Medical Center Dr , Fairmont MN 56031-4575. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Shantz, Kelly Ray can be contacted via phone (507) 238-8555.Contact Information
Primary practice address
800 Medical Center Dr
Fairmont MN 56031-4575
Phone: (507) 238-8555
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R 162289-8 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 868 | Minnesota |
Profile Details
NPI number | 1477540995 |
---|---|
LBN Legal business name | Shantz, Kelly Ray |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 29th, 2005 |
Last updated | Sep 17th, 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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