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Individual

RICHARD TODD HURLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
288 UNIVERSITY DR, WALTON, KY 41094
(859) 250-3939
(000) 000-0000
Mailing address
288 UNIVERSITY DR, WALTON, KY 41094-7814
(859) 250-3939
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5593A
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200979270A (KOHMG)
IN
05
7100085250
KY
Enumeration date
02/15/2008
Last updated
10/30/2019
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