Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY RAY SHANTZ, CRNA
ActiveKELLY RAY SHANTZ, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in FAIRMONT, Minnesota. NPI 1477540995 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · FAIRMONT, MN
Registration Details
- NPI Number
- 1477540995
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2005 (20.865116052491 yrs)
- Last Updated
- Sep 17, 2020
- Licenses
-
R 162289-8 (MN)868 (MN)
Practice Information
- Address
-
800 MEDICAL CENTER DRFAIRMONT, MN, 560314575Browse MN providers · Browse ZIP 56031
- Phone
- 5072388555
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in FAIRMONT, MN
| Name | Credential | NPI |
|---|---|---|
| JOSEPH MICHAEL KLICK | CRNA | 1073516266 |
| DAVID KRUSEMARK | CRNA | 1003891615 |
| STEVEN JERRED | CRNA | 1811976335 |
| CRAIG BERGH | CRNA | 1780649715 |
| MR. SHAWN MICHAEL OVERGAARD | CRNA | 1972735033 |
| BRIAN ALEXANDER KAWECKI | CRNA | 1497088967 |
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.