Organization
CONOLOWAY ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED CROCKER CRNA (OWNER)
(270) 889-8837
Entity
Organization
Contact information
Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754-2414
(270) 889-8837
Mailing address
23 OAKMONT BLVD, LEITCHFIELD, KY 42754-5702
(270) 889-8837
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
06/03/2022
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