Individual
ANDREW J. LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 236-3726
(859) 236-3019
Mailing address
223 EXECUTIVE PARK, LOUISVILLE, KY 40207-4202
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1150782
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3010802
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100452870
—
KY
Enumeration date
10/11/2016
Last updated
01/15/2021
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