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Organization
CAPITAL ANESTHESIA SOLUTIONS OF KY II LLC
Active
Organization
CAPITAL ANESTHESIA SOLUTIONS OF KY II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE ANDERSON (SR DIRECTOR OF PROVIDER ENROLLMENT)
(503) 910-6182
Entity
Organization
Contact information
Practice address
2511 TERRA CROSSING BLVD, LOUISVILLE, KY 40245-5375
(239) 790-5582
(239) 790-5582
Mailing address
13500 POWERS CT STE 230, FORT MYERS, FL 33912-4503
(239) 790-5582
(239) 790-5582
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/30/2021
Last updated
02/12/2025
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