Individual
SID JOHN HARVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 SAINT JOSEPH DR, LEXINGTON, KY 40504-3742
(859) 313-1000
Mailing address
562 SAFFRON LN, VERSAILLES, KY 40383-8313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1153892
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
1153892
KY
Other
Enumeration date
04/21/2026
Last updated
05/17/2026
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