Individual
TRACY MARIE KANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 S FLOYD ST, SUITE 407, LOUISVILLE, KY 40202-1835
(502) 629-2880
(502) 629-2879
Mailing address
3802 STOCKRIDGE RD, LOUISVILLE, KY 40241-6219
(502) 724-7447
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3007269
KY
Other
Enumeration date
08/14/2006
Last updated
03/15/2012
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