Organization
ASHLAND ANESTHESIA, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NESTOR M.D. (PRESIDENT)
(606) 833-3791
Entity
Organization
Contact information
Practice address
1000 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7034
(606) 833-3791
Mailing address
PO BOX 29, ASHLAND, KY 41105-0029
(877) 416-4452
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0967771
—
OH
05
—
65922460
—
KY
05
—
74903840
—
KY
Enumeration date
05/20/2006
Last updated
06/30/2009
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