# HEARTLAND ANESTHESIA CONSULTANT, P.S

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093022774
- **Authorized official:** SANDY SPALDING (OFFICE MANAGER)
- **Authorized official phone:** (270) 737-4600

## Contact information

- **Practice address:** 639 NORTH MULBERRY STREET, ELIZABETHTOWN, KY 42701-1931
- **Practice address phone:** (270) 737-4600
- **Practice address fax:** (270) 737-1722
- **Mailing address:** 639 NORTH MULBERRY STREET, ELIZABETHTOWN, KY 42701-1931
- **Mailing address phone:** (270) 737-4600
- **Mailing address fax:** (270) 737-1722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | KY | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | KY | — |

## Other

- **Enumeration date:** 09/02/2010
- **Last updated:** 09/02/2010
