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Individual

PAULA K O'BANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5956
(859) 323-1080
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5956
(859) 323-1080

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3004418
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74009481
KY
Enumeration date
08/29/2006
Last updated
04/05/2016
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