Healthcare Provider Details

I. General information

NPI: 1689706343
Provider Name (Legal Business Name): ANESTHESIA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

789 EASTERN BYP STE 2A
RICHMOND KY
40475-2415
US

IV. Provider business mailing address

789 EASTERN BYP STE 2A
RICHMOND KY
40475-2415
US

V. Phone/Fax

Practice location:
  • Phone: 859-624-1879
  • Fax: 859-353-5138
Mailing address:
  • Phone: 859-624-1879
  • Fax: 859-353-5138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. PAT HESS
Title or Position: OFFICE MANAGER
Credential:
Phone: 859-624-1879