Kelly Gilkerson Crna LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

KELLY GILKERSON CRNA LLC

Practice address

933 Sell Ave Unit B
Canon City, CO 81212-4955

Phone

(719) 275-6433

NPI assigned

Nov 8, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Gilkerson

Title

Crna

Phone

(970) 302-4628

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1811652456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 GREENHORN DR",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 SELL AVE UNIT B",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124955",
            "telephone_number": "719-275-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY GILKERSON CRNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "GILKERSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "970-302-4628"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STILL PENDING",
            "identifier": "999999999",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gilkersonkelly@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Canon City CO Multi Specialty ASC LLC",
            "address_1": "933 Sell Ave Unit B",
            "city": "Canon City",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812124955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandra Mae Kear
• John Michael Kearney, D.D.S.
• Theresa Diane Keefer, CRNA
• Susan Keenan, LCSW
• Jade Keller, MASSAGE THERAPIST
• Kelly Leigh Kierstead, PTA
• King Assessments PLLC
• Carolyn King
• Julia King
• Natassia Rhiannon King, FNP-C

• Certified Registered Nurse Anesthetist in Canon City, CO
• Providers in Canon City, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.