Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Kelly Rose Pucillo, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1194362939

MS. Kelly Rose Pucillo, CRNA is a Certified Registered Nurse Anesthetist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

160 E Erie Ave
Philadelphia, PA 19134-1011
Phone: (215) 427-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 128588 (PA)

Record details

NPI number1194362939
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 27, 2019
Last updated in NPPESNovember 27, 2019

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