# CAPITAL ANESTHESIA SOLUTIONS OF KY II LLC

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

## Provider details

- **NPI number:** 1104599513
- **Authorized official:** VALERIE ANDERSON (SR DIRECTOR OF PROVIDER ENROLLMENT)
- **Authorized official phone:** (503) 910-6182

## Contact information

- **Practice address:** 2511 TERRA CROSSING BLVD, LOUISVILLE, KY 40245-5375
- **Practice address phone:** (239) 790-5582
- **Practice address fax:** (239) 790-5582
- **Mailing address:** 13500 POWERS CT STE 230, FORT MYERS, FL 33912-4503
- **Mailing address phone:** (239) 790-5582
- **Mailing address fax:** (239) 790-5582

## Taxonomy

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

## Other

- **Enumeration date:** 07/30/2021
- **Last updated:** 02/12/2025