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Kelly L Terry, CRNA
Certified Registered Nurse Anesthetist in Tyler, Texas
NPI 1407000425

Kelly L Terry is a Certified Registered Nurse Anesthetist based in Dallas, TX. Kelly L Terry practices in Tyler, TX and has the professional credentials of CRNA. The NPI Number for Kelly L Terry is 1407000425 and holds a License No. 695973 (Texas).

The current practice location address for Kelly L Terry is 800 E Dawson St, Tyler, TX and can be reached out via phone at 903-531-5000.

Location: 800 E Dawson St, Tyler, TX, 75284-1656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407000425
Provider Name
Kelly L Terry
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
800 E Dawson St, Tyler, TX, 75284-1656
Phone Number
903-531-5000
Fax Number
Provider Enumeration Date
11/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
199841103 05 TX
330659YN3X 01 TX MEDICARE
8329UE 01 TX BCBS
8GY772 01 TX BCBS
199841102 05 TX
8A695U 01 TX BCBS OF TEXAS
75-1976930-005 01 TX TRICARE
P01290909 01 TX RAIL ROAD
TIN PLUS 015 01 TX TRICARE
199841105 05 TX
75-2771569-008 01 TX TRICARE
institution
Provider Business Practice Location Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701-2036
Phone Number
903-531-5000
Fax Number
person
Provider Business Mailing Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701-2036
Phone Number
903-531-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
695973 (Texas)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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