Individual
JESSICA MCDANNALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-3347
Mailing address
9422 CIVIC WAY APT 101, PROSPECT, KY 40059-5102
(804) 301-0114
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4015029
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
1689439515
KY
Other
Enumeration date
02/20/2024
Last updated
03/06/2024
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