# SPECIALTY ANESTHESIA, LLC

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

## Provider details

- **NPI number:** 1134967813
- **Authorized official:** JEFFREY REIBEL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (502) 254-8526

## Contact information

- **Practice address:** 5100 OUTER LOOP STE C, LOUISVILLE, KY 40219-3023
- **Practice address phone:** (502) 969-9264
- **Mailing address:** PO BOX 437169, LOUISVILLE, KY 40253-7169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2024
- **Last updated:** 07/17/2024