Individual
SCOTT JAMES VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100
Mailing address
4559 CONTEST RD, PADUCAH, KY 42001-8808
(801) 644-2857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4002041
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
4002041
KY
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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