Organization
COMMUNITY ANESTHESIA OF THE BLUEGRASS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF TAYLOR CRNA (PRESIDENT)
(859) 268-1030
Entity
Organization
Contact information
Practice address
1210 KY HIGHWAY 36 E, CYNTHIANA, KY 41031-7490
(859) 235-3500
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74900614
—
KY
Enumeration date
07/17/2006
Last updated
03/22/2011
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