Individual
RODNEY D MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754-2414
(270) 259-9512
Mailing address
1020 N MAIN ST, BEAVER DAM, KY 42320-1553
(270) 274-0480
(270) 274-0482
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3005524
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
870962
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100254860
—
KY
Enumeration date
01/07/2008
Last updated
08/30/2024
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