Individual
KENT A OUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3300 MERCY HEALTH BLVD, CINCINNATI, OH 45211-1103
(513) 215-1488
(513) 215-1978
Mailing address
200 NORTHLAND BLVD, CINCINNATI, OH 45246
(513) 215-1488
(513) 215-1978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1055066
KY
163W00000X
Registered Nurse
28209070A
IN
163W00000X
Registered Nurse
RN.198180
OH
367500000X
Certified Registered Nurse Anesthetist
44587
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.00299-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000288574
ANTHEM BLUE SHIELD
—
05
—
0941628
—
OH
05
—
200115120
—
IN
01
—
27150036
HEALTHNET
—
05
—
74002833
—
KY
Enumeration date
12/05/2005
Last updated
07/09/2015
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