Individual
THOMAS E. BARIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6100
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3009183
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K184682
MEDICARE
KY
Enumeration date
01/21/2015
Last updated
11/27/2017
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