Organization
TSGA ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH RUDD (DIRECTOR OF OPERATIONS)
(859) 655-4459
Entity
Organization
Contact information
Practice address
425 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3409
(859) 655-4459
Mailing address
425 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3409
(859) 655-4459
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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