Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY JONATHON DOUCK, CRNA
Active Sole ProprietorMR. KELLY JONATHON DOUCK, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in WAUSAU, Wisconsin. NPI 1447807086 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · WAUSAU, WI
Registration Details
- NPI Number
- 1447807086
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2019 (6.981042403191 yrs)
- Last Updated
- Sep 20, 2019
- License
-
127347 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
333 PINE RIDGE BLVDWAUSAU, WI, 544014102Browse WI providers · Browse ZIP 54401
- Phone
- 7158455505
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in WAUSAU, WI
| Name | Credential | NPI |
|---|---|---|
| MICHAEL J HEIN | CRNA | 1104821651 |
| MR. GARY BLAINE TOWNSEND | CRNA | 1326035338 |
| SHELLEY R. DANIELSON | C.R.N.A. | 1265418909 |
| MR. JOHN R WESTBERG | CRNA | 1255302337 |
| MS. KELLE FECKER | CRNA | 1962444265 |
| GORDON VITTONE | CRNA | 1568480010 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.