Individual
KENNETH LAMAR WILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1607 SOUTH LOCUST AVENUE, LAWRENCEBURG, TN 38464
(615) 620-2320
Mailing address
PO BOX 440013, NASHVILLE, TN 37244-0013
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1-063395
AL
163W00000X
Registered Nurse
RN44231
TN
163W00000X
Registered Nurse
RN799782
FL
367500000X
Certified Registered Nurse Anesthetist
1-063395
AL
367500000X
Certified Registered Nurse Anesthetist
AC000125
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
APN08946
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01069642
AMERIGROUP TENNCARE ONLY
TN
05
—
3632860
—
TN
05
—
406122500
—
MD
01
—
4064894
BLUE CROSS/BLUE SHIELD OF TN
TN
Enumeration date
04/25/2006
Last updated
08/05/2010
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