Individual
JOHN M. EDWARDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-1431
(859) 323-5956
(859) 323-1080
Mailing address
3320 TATES CREEK RD, SUITE 204, LEXINGTON, KY 40502-3400
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3004533
KY
367500000X
Certified Registered Nurse Anesthetist
39624
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74006305
—
KY
Enumeration date
11/07/2006
Last updated
01/11/2024
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