Individual
MR. DEAN CANESTRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2501 KENTUCKY AVENUE, WESTERN BAPTIST HOSPITAL, PADUCAH, KY 42003
(270) 575-2100
Mailing address
2507 BROADWAY, PADUCAH, KY 42001
(270) 442-8228
(270) 442-9566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3003564
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74005463
—
KY
01
—
K023541
MEDICARE OF KY
KY
Enumeration date
09/27/2006
Last updated
08/27/2015
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