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KELLY BACON
Certified Registered Nurse Anesthetist
NPI: 1700844313IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse Anesthetist, Certified Registered
Code: 367500000X
R0071221(OK)
CMS Specialties
PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Education
OTHER
Class of 2003
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Contact & Hours
- Address
- 1301 E LINCOLN RD
IDABEL, OK 74745 - Phone
- (580) 286-7623
Quick Facts
- NPI
- 1700844313
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 23
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