Organization
CAPITAL ANESTHESIA SOLUTIONS OF KY II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE ANDERSON (SR DIRECTOR OF PROVIDER ENROLLMENT)
(503) 910-6182
Entity
Organization
Contact information
Practice address
2511 TERRA CROSSING BLVD, LOUISVILLE, KY 40245-5375
(239) 790-5582
(239) 790-5582
Mailing address
13500 POWERS CT STE 230, FORT MYERS, FL 33912-4503
(239) 790-5582
(239) 790-5582
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/30/2021
Last updated
02/12/2025
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