Shriners Hospitals for Children

NPI #1336639780 in Lexington, Kentucky

Provider Information

NPI Number: 1336639780
Entity Type: Organization
Organization Name: Shriners Hospitals for Children
Primary Specialty: Anesthesiology
Enumeration Date: May 11, 2018
Last Updated: May 11, 2018

Practice Location

Address: 110 CONN TER
City: Lexington
State: Kentucky
ZIP Code: 40508-3206
Phone: (859) 266-2101

Authorized Official

Name: JERRY G. GANTT
Title: PRESIDENT
Phone: (813) 281-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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