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Individual

BETH FOWLER ADKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1080190
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3003640
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0958723
RAILROAD MEDICARE
KY
05
201364100
IN
05
74012394
KY
01
CB0341
RR MEDICARE GROUP
Enumeration date
03/03/2006
Last updated
03/01/2023
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