Healthcare Provider Details

I. General information

NPI: 1376783944
Provider Name (Legal Business Name): STRATEGIC ANESTHESIA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 05/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 MEDICAL PARK BLVD THE ENDOSCOPY CENTER OF BRISTOL
BRISTOL TN
37620-7455
US

IV. Provider business mailing address

PO BOX 291264
NASHVILLE TN
37229-1264
US

V. Phone/Fax

Practice location:
  • Phone: 615-620-2020
  • Fax:
Mailing address:
  • Phone: 615-620-2320
  • Fax: 615-620-2323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ROBERT L KENDALL JR.
Title or Position: PARTNER
Credential: CPA
Phone: 615-579-8684