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MATHEW JACOB SCOTT HUMMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-0004
(859) 323-5956
(859) 323-5956
Mailing address
1301 MEDICAL CENTER DR, VUMC ANESTHESIOLOGY, NASHVILLE, TN 37232-5614

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
180058
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3012050
KY
367500000X
Certified Registered Nurse Anesthetist
APN20708
TN

Other

Enumeration date
11/09/2015
Last updated
03/17/2018
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