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Individual

LADONNA CATES II

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2029A
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000044312
BCBS PROVIDER NUMBER
01
2029A
LICENSE
KY
05
74452533
KY
Enumeration date
09/17/2006
Last updated
01/07/2015
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