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General NPI Number Information
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NPI Number | 1740254549
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Entity Type | Individual
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Provider Name | ROBERT BURROWS KELSEY JR. CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 149 HART ST 82D MEDICAL GROUP
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City | SHEPPARD AFB
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State | TX
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Zip | 76311-3477
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Country | US
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Telephone | 940-676-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3805 BRYCE AVE
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City | FORT WORTH
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State | TX
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Zip | 76107-4416
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Country | US
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Telephone | 817-735-1621
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 238424
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 35997
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License Number State | TX
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