Individual
BENJAMIN MARTIN CHOI SAMPEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(214) 687-0001
Mailing address
5899 WINDING RIVER WAY, APT#304, MEMPHIS, TN 38120-2915
(205) 706-3536
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3011353
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-131024
APRN
AL
01
—
1153795
APRN
KY
Enumeration date
03/17/2017
Last updated
07/21/2022
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