Individual
SUSAN LEE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 473-2132
(502) 459-0923
Mailing address
PO BOX 70354, LOUISVILLE, KY 40270-0354
(502) 473-2132
(502) 459-0923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1043481
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3000182
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74294208
—
KY
Enumeration date
08/17/2005
Last updated
12/02/2015
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