Organization
METHODIST HEALTH, INC.
Active
Other names
Deaconess Henderson Anesthesiology
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JENKINS (VP)
(270) 827-7118
Entity
Organization
Contact information
Practice address
1305 NORTH ELM ST, HENDERSON, KY 42420
(270) 827-7700
(270) 827-7469
Mailing address
PO BOX 638704, CINCINNATI, OH 45263-8704
(270) 827-7468
(270) 831-7804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74900481
—
KY
Enumeration date
01/04/2006
Last updated
11/17/2020
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