Individual provider · Type 1 NPI

Kelly Bacon

Certified Registered Nurse Anesthetist · Idabel, OK

NPI number 1700844313 Active

Practice location

1301 E Lincoln Rd
Idabel, OK 74745-7300

Mailing address

PO Box 1547
Sedalia, MO 65302-1547

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant 367H00000XR0071221 (OK)
Certified Registered Nurse Anesthetist Primary 367500000XR0071221 (OK)

Certified Registered Nurse Anesthetist: (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 creden…

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About NPI 1700844313

Kelly Bacon's National Provider Identifier is 1700844313, issued on May 3, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Idabel, OK. The record was last updated on Oct 26, 2021.