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NPI Code Detail

MEDICARE: LEIGH CARNEY CRNA

MEDICARE: LEIGH CARNEY CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist3004989KY

General Provider Information

NPI Number : 1073578555
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIGH CARNEY CRNA
Provider Business Mailing Address
First Line : 425 LEWIS HARGETT CIR
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-3590
Country : US
Telephone Number : 859-268-1030
Fax Number : 859-269-4120
Provider Business Practice Location Address
First Line : 989 MEDICAL PARK DR
Second Line :
City : MAYSVILLE
State : KY
Zip : 41056-8750
Country : US
Telephone Number : 606-759-5311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 09/06/2013

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Directions to “ LEIGH CARNEY CRNA” Practice Location

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