# MARION COUNTY ANESTHESIA ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1215022348
- **Authorized official:** JAMES ADAM MONTGOMERY M.D. (PRESIDENT)
- **Authorized official phone:** (859) 268-1030

## Contact information

- **Practice address:** 320 LORETTO ROAD, LEBANON, KY 40033
- **Practice address phone:** (270) 692-3161
- **Mailing address:** PO BOX 23745, LEXINGTON, KY 40523-3745
- **Mailing address phone:** (859) 268-1030
- **Mailing address fax:** (859) 269-4120

## 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:** 10/04/2006
- **Last updated:** 06/28/2011