Individual
ANDREW PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 341-7246
Mailing address
20 MEDICAL VILLAGE DR STE 258, EDGEWOOD, KY 41017-5411
(859) 341-7246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1133059
KY
163W00000X
Registered Nurse
28179561A
IN
163W00000X
Registered Nurse
378763
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
3009185
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154728343
—
KY
Enumeration date
12/03/2014
Last updated
02/03/2015
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