Organization
MID-SOUTH ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BENTLEY CRNA (OWNER)
(859) 200-3083
Entity
Organization
Contact information
Practice address
2901 RICHMOND RD, SUITE 130 PMB 302, LEXINGTON, KY 40509-1771
(859) 200-3083
Mailing address
2901 RICHMOND RD, SUITE 130 PMB 302, LEXINGTON, KY 40509-1771
(859) 200-3083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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