Individual provider · Type 1 NPI

Myra D. Kelly, CRNA

Registered Nurse · Greensboro, NC

NPI number 1821139775 Active

Practice location

801 Green Valley Rd
Greensboro, NC 27408-7021

Mailing address

PO Box 26580
Greensboro, NC 27415-6580

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X61785 (NC)
Certified Registered Nurse Anesthetist 367500000X35810 (NC)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1821139775

Myra D. Kelly, CRNA's National Provider Identifier is 1821139775, issued on Feb 12, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Greensboro, NC. The record was last updated on Sep 11, 2025.