Individual
MICHAEL D CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2201 LEXINGTON AVE, C/O TARA LANDERS, ASHLAND, KY 41101-2843
(606) 408-4000
(304) 429-3109
Mailing address
PO BOX 390, C/O TARA LANDERS, HUNTINGTON, WV 25708-0390
(304) 208-6411
(304) 429-3109
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
73242
WV
Other
Enumeration date
03/19/2015
Last updated
03/30/2018
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