Northstar Anesthesia of Kentucky Ii, Pllc

NPI #1225587504 in Carthage, Missouri

Provider Information

NPI Number: 1225587504
Entity Type: Organization
Organization Name: Northstar Anesthesia of Kentucky Ii, Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Sep 27, 2016
Last Updated: Sep 27, 2016

Practice Location

Address: 3125 DR RUSSELL SMITH WAY
City: Carthage
State: Missouri
ZIP Code: 64836-7402
Phone: (214) 687-0001

Authorized Official

Name: DR. PHILIP EICHENHOLZ, MD
Title: PRESIDENT
Phone: (214) 687-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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