Organization
MIDDLE TENNESSEE ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYHELEN M KEMP CRNA (OWNER/PRESIDENT)
(615) 683-7280
Entity
Organization
Contact information
Practice address
529 CAP HARLAN ROAD, TOMPKINSVILLE, KY 42167
(270) 487-9231
Mailing address
PO BOX 16068, HIGH POINT, NC 27261-6068
(888) 447-7220
(336) 884-1643
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
06/20/2018
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