Individual
DR. CHARLES HENRY ELLIOTT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1 SAINT JOSEPH DR, LEXINGTON, KY 40504-3742
(859) 313-1000
Mailing address
1081 DUVAL ST, LEXINGTON, KY 40515-6283
(859) 374-0184
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1144341
KY
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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