Individual
DIANE SOUVENIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7659 MALL RD # 1053, FLORENCE, KY 41042-1403
(347) 761-2905
Mailing address
2672 BERWOOD LN, HEBRON, KY 41048-8241
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4000716
KY
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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