Individual
TIMOTHY ROBERT MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2211
Mailing address
340 THOMAS MORE PKWY STE 220, CRESTVIEW HILLS, KY 41017-5101
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3014836
KY
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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