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Organization
CENTRAL KENTUCKY ANESTHESIA PSC
Active
Organization
CENTRAL KENTUCKY ANESTHESIA PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BROSTER MD (PRESIDENT)
(859) 268-1030
Entity
Organization
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503
(859) 260-6100
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1329545
KY
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
Other
Enumeration date
03/22/2007
Last updated
05/21/2013
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