Independent Anesthesiologists, Psc

NPI #1730351008 in Edgewood, Kentucky

Provider Information

NPI Number: 1730351008
Entity Type: Organization
Organization Name: Independent Anesthesiologists, Psc
Primary Specialty: Anesthesiology
Enumeration Date: Mar 27, 2008
Last Updated: Mar 27, 2008

Practice Location

Address: 580 SOUTH LOOP RD
City: Edgewood
State: Kentucky
ZIP Code: 41017
Phone: (859) 341-7246

Authorized Official

Name: DR. RICHARD PARK
Title: PRESIDENT
Phone: (859) 341-7246

Specialties & Taxonomy Codes

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

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