Individual
CODY LIND HAMBLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-NA
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, ANESTHESIA DEPARTMENT, LOUISVILLE, KY 40202-2877
(502) 587-4404
(502) 587-4156
Mailing address
100 E LIBERTY ST, SUITE 800 - BUSINESS OFFICE, LOUISVILLE, KY 40202-1434
(502) 587-4404
(502) 587-4156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1147682
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3011053
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300001114-KOHMG
—
IN
05
—
7100442980 (KOHMG)
—
KY
01
—
K206980-KOHMG
MEDICARE
KY
01
—
P01790400-KOHMG
RR MEDICARE
KY
Enumeration date
12/15/2016
Last updated
04/03/2018
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