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Individual

MS. REIDA A SOWDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1001 SAINT JOSEPH LN, LONDON, KY 40741-8345
(606) 330-6000
Mailing address
1001 SAINT JOSEPH LN, LONDON, KY 40741-8345
(606) 330-6000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1061118
KY
367500000X
Certified Registered Nurse Anesthetist
2875A
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000285085
ANTHEM
KY
01
000000559786
BLUE CROSS/BLUE SHIELD
KY
05
7100017430
KY
01
P00479795
RAILROAD MEDICARE
KY
Enumeration date
09/05/2006
Last updated
07/03/2014
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