Healthcare Provider Details

I. General information

NPI: 1497489165
Provider Name (Legal Business Name): CAITLIN BELL LANHAM CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAITLIN BELL CRNA

II. Dates (important events)

Enumeration Date: 07/10/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 NICHOLASVILLE RD
LEXINGTON KY
40503-1431
US

IV. Provider business mailing address

3405 FREELAND DR
LEXINGTON KY
40502-3829
US

V. Phone/Fax

Practice location:
  • Phone: 859-260-6100
  • Fax:
Mailing address:
  • Phone: 859-559-9259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4035079
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: