Individual
MR. WENDELL CHRISTOPHER GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8727
(606) 528-1212
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
3007886
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100232790
—
KY
Enumeration date
01/30/2013
Last updated
05/29/2015
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