# TAS OF KENTUCKY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TOTAL ANESTHESIA SOLUTIONS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255735346
- **Legal business name:** TOTAL ANESTHESIA SOLUTIONS, LLC
- **Authorized official:** JUSTIN SMITH (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (703) 727-3462

## Contact information

- **Practice address:** 1099 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1159
- **Practice address phone:** (270) 251-4100
- **Mailing address:** PO BOX 2416, LEESBURG, VA 20177-7703

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 01/08/2024