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Individual

CATHY STOLWORTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1025 NEW MOODY LN, LAGRANGE, KY 40031-9154
(502) 222-3886
(502) 222-8647
Mailing address
2826 PLANTATION CT, SELLERSBURG, IN 47172-9173

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2941A
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000369769
ANTHEM BCBS PAR
01
000000370633
ANTHEM BCBS PAR
05
50006836
KY
05
74029414
KY
Enumeration date
08/05/2006
Last updated
07/09/2007
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