Individual
JEFFREY W STEELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS PSC, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
PO BOX 12749, COVINGTON, KY 41012-0749
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1042047
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
37861
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000288575
BLUE SHIELD
—
05
—
0854615
—
OH
05
—
200420840
—
IN
05
—
74097411
—
KY
Enumeration date
12/08/2005
Last updated
06/30/2011
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