Individual
MISS SUSAN LOUISE PHILLIPS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 281-4906
Mailing address
212 LARCH LN, LEXINGTON, KY 40511-2004
(859) 252-3393
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 1811A
KY
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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