# NORTHSTAR ANESTHESIA OF KENTUCKY, PLLC

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

## Provider details

- **NPI number:** 1386938900
- **Authorized official:** DR. PHIL W EICHENHOLZ M.D. (CHARIRMAN/CEO)
- **Authorized official phone:** (817) 861-3994

## Contact information

- **Practice address:** 4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
- **Practice address phone:** (502) 896-5000
- **Mailing address:** PO BOX 612121, DALLAS, TX 75261-2121
- **Mailing address phone:** (239) 610-0775

## 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:** 05/31/2011
- **Last updated:** 10/08/2025