Individual
MS. CAROL NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 NICHOLASVILLE RD, SUITE 104, LEXINGTON, KY 40503-1433
(859) 276-1557
(859) 276-3188
Mailing address
1800 NICHOLASVILLE RD, SUITE 104, LEXINGTON, KY 40503-1433
(859) 276-1557
(859) 276-3188
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17737
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74177379
—
KY
Enumeration date
12/27/2006
Last updated
07/08/2007
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