Individual
AMR ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3356 EMERSON WOODS, LEXINGTON, KY 40517-2035
(606) 854-6326
Mailing address
3356 EMERSON WOODS, LEXINGTON, KY 40517-2035
(606) 854-6326
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4025983
KY
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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