# SOUTHERN KENTUCKY ANESTHESIA SERVICES PSC

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

## Provider details

- **NPI number:** 1528347382
- **Authorized official:** JASON J PORTER MD (CEO)
- **Authorized official phone:** (567) 201-6382

## Contact information

- **Practice address:** 108 BRAVO BLVD, GLASGOW, KY 42141-3412
- **Practice address phone:** (270) 651-2181
- **Mailing address:** 108 BRAVO BLVD, GLASGOW, KY 42141-3412
- **Mailing address phone:** (270) 651-2181

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2011
- **Last updated:** 08/24/2011