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Individual

H LEWIS GABEHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
800 ROSE ST # N217, LEXINGTON, KY 40536-8947
(859) 323-5956
(859) 323-1080
Mailing address
20 W OWL CREEK RD, CAMPBELLSVILLE, KY 42718-8947
(270) 465-6676

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1061711
KY
163W00000X
Registered Nurse
RN0000047222
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
1239A
KY
367500000X
Certified Registered Nurse Anesthetist
APN0000008996
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74346677
KY
Enumeration date
11/22/2005
Last updated
03/17/2018
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