Organization
HEARTLAND ANESTHESIA CONSULTANT, P.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY SPALDING (OFFICE MANAGER)
(270) 737-4600
Entity
Organization
Contact information
Practice address
639 NORTH MULBERRY STREET, ELIZABETHTOWN, KY 42701-1931
(270) 737-4600
(270) 737-1722
Mailing address
639 NORTH MULBERRY STREET, ELIZABETHTOWN, KY 42701-1931
(270) 737-4600
(270) 737-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
KY
367500000X
Certified Registered Nurse Anesthetist
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65925968
—
KY
05
—
74900242
—
KY
Enumeration date
09/02/2010
Last updated
09/02/2010
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