Individual
TINA M LINNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, INDEPENDANT ANESTHESIOLOGISTS PSC, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DRIVE, INDEPENDENT ANESTHESIOLOGISTS PSC #258, EDGEWOOD, KY 41017
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1096279
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000384007
ANTHEM B SHIELD
—
05
—
2654275
—
OH
05
—
74011586
—
KY
Enumeration date
07/06/2006
Last updated
02/28/2008
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