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Organization
CHRISTIAN CO ANESTHESIA
Active
Organization
CHRISTIAN CO ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY BLAKELEY (BILLING)
(270) 885-1640
Entity
Organization
Contact information
Practice address
103 W 18TH ST, HOPKINSVILLE, KY 42240-1960
(270) 885-1640
Mailing address
103 W 18TH ST, HOPKINSVILLE, KY 42240-1960
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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