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Organization

EXCELLENT PROFESSIONAL ANES., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERNEST P AYO CRNA (OWNER)
(270) 362-9480
Entity
Organization

Contact information

Practice address
803 POPLAR ST, MURRAY, KY 42071-2432
(270) 762-1104
Mailing address
659 SHERWOOD DR, GILBERTSVILLE, KY 42044-8666
(270) 362-9480
(574) 268-0684

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74008046
KY
Enumeration date
07/15/2011
Last updated
06/05/2013
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