# TAYLOR COUNTY ANESTHESIA PSC

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

## Provider details

- **NPI number:** 1659342178
- **Authorized official:** JESSICA FRAZIER (MANAGER)
- **Authorized official phone:** (270) 932-3694

## Contact information

- **Practice address:** 1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9662
- **Practice address phone:** (270) 932-3694
- **Practice address fax:** (270) 932-3674
- **Mailing address:** PO BOX 180, CAMPBELLSVILLE, KY 42719-0180
- **Mailing address phone:** (270) 932-3694
- **Mailing address fax:** (270) 932-3674

## 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:** 02/01/2006
- **Last updated:** 10/13/2011