Individual
SAUNDRA L. SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 361-6617
(502) 361-6637
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 361-6617
(502) 361-6637
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3004485
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
4485A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74009408
—
KY
Enumeration date
06/08/2006
Last updated
01/12/2011
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