# SOUTHERN KENTUCKY ANESTHESIA, LLC

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

## Provider details

- **NPI number:** 1881562643
- **Authorized official:** MR. DAVID MATTHEW MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (270) 714-1177

## Contact information

- **Practice address:** 96 AMERICAN WAY, GLASGOW, KY 42141
- **Practice address phone:** (270) 714-1177
- **Mailing address:** 96 AMERICAN WAY, GLASGOW, KY 42141
- **Mailing address phone:** (270) 714-1177

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2025
- **Last updated:** 10/24/2025