Organization
NORTHSTAR ANESTHESIA OF KENTUCKY II, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP EICHENHOLZ MD (PRESIDENT)
(214) 687-0008
Entity
Organization
Contact information
Practice address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(214) 687-0001
(972) 518-2100
Mailing address
6225 N STATE HIGHWAY 161, SUITE 200, IRVING, TX 75038-2223
(214) 687-0001
(972) 518-2100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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