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Individual

JOANN M ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
530 S. JACKSON STREET, LOUISVILLE, KY 40202
(502) 852-5851
(502) 852-6056
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-8266
(502) 852-3726

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3004798
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200863410
IN
05
74011883
KY
Enumeration date
05/22/2006
Last updated
09/17/2012
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