Healthcare Provider Details

I. General information

NPI: 1134127814
Provider Name (Legal Business Name): ELSIA LEE KENNEDY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CONTINENTAL ANESTHESIA PROFESSIONALS,P.A.

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 SW 34TH AVE 905-446
OCALA FL
34474-7447
US

IV. Provider business mailing address

3101 SW 34TH AVE
OCALA FL
34474-7447
US

V. Phone/Fax

Practice location:
  • Phone: 352-274-0603
  • Fax:
Mailing address:
  • Phone: 352-274-0603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP1774372
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: