Individual provider · Type 1 NPI

Kelly Jon Hare, DR.

Certified Registered Nurse Anesthetist · Plymouth, MN

NPI number 1952293029 Active

Practice location

PO Box 47159
Plymouth, MN 55447-0159

Fax (763) 450-3986

Specialties and licenses

Taxonomy	Code	License
Certified Registered Nurse Anesthetist Primary	367500000X	3221 (MN)

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 1952293029

Kelly Jon Hare, DR.'s National Provider Identifier is 1952293029, issued on Jul 15, 2025. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Plymouth, MN. The record was last updated on Sep 10, 2025.