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Individual

MARSHALL EARL ANDERSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
800 ROSE ST, UK HEALTHCARE DEPARTMENT OF ANESTHESIOLOGY, LEXINGTON, KY 40536-7001
(859) 323-5956
(859) 323-1080
Mailing address
800 ROSE ST, UK HEALTHCARE DEPARTMENT OF ANESTHESIOLOGY, LEXINGTON, KY 40536-7001
(859) 323-5956
(859) 323-1080

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
12677
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3004822
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74011412
KY
Enumeration date
08/30/2006
Last updated
08/09/2016
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