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Organization

ANESTHESIA SERVICE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY BENTLEY CRNA (OWNER)
(859) 200-3083
Entity
Organization

Contact information

Practice address
789 EASTERN BYP STE 2A, RICHMOND, KY 40475-2415
(859) 624-1879
(859) 353-5138
Mailing address
789 EASTERN BYP STE 2A, RICHMOND, KY 40475-3101
(859) 624-1879
(859) 353-5138

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74900705
KY
05
74907619
KY
Enumeration date
03/09/2007
Last updated
08/05/2026
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