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Individual

EDWARD M HOFFNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2 TRILLIUM WAY STE 205, CORBIN, KY 40701-8445
(606) 523-2140
(606) 523-2547
Mailing address
2 TRILLIUM WAY STE 205, CORBIN, KY 40701-8445
(606) 523-2140
(606) 523-2547

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5044A
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
075336
AANA CERTIFICATION
KY
01
5044A
ARNP LICENSE
KY
Enumeration date
11/10/2006
Last updated
07/08/2007
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