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Individual

MR. MARVIN HORMANN

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
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
3004204
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53047
CERTIFICATION CRNA
KY
05
74007683
KY
Enumeration date
12/26/2006
Last updated
12/15/2021
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