DR. Kenneth Wayne Edmisson JR., ND EDD RNC FNP CRNA

NPI #1295731081 in Paducah, Kentucky

Provider Information

NPI Number
1295731081
Entity Type
Individual
Name
DR. Kenneth Wayne Edmisson JR., ND EDD RNC FNP CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
ND EDD RNC FNP CRNA
Enumeration Date
Jun 26, 2005
Last Updated
Oct 4, 2011

Practice Location

Address
225 MEDICAL CENTER DR
Address 2
#405
ZIP Code
42003-7914
Phone
(270) 441-4750

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Nurse Anesthetist, Certified Registered

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