Individual
NICHOLAS R GAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7160
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3015670
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3015670
KENTUCKY APRN LICENSE
KY
Enumeration date
01/27/2021
Last updated
01/27/2021
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