Organization
TAYLOR COUNTY ANESTHESIA PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA FRAZIER (MANAGER)
(270) 932-3694
Entity
Organization
Contact information
Practice address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9662
(270) 932-3694
(270) 932-3674
Mailing address
PO BOX 180, CAMPBELLSVILLE, KY 42719-0180
(270) 932-3694
(270) 932-3674
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/01/2006
Last updated
10/13/2011
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