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Individual

DAVID E MINGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
310 E 9TH ST, LONDON, KY 40741-1204
(606) 878-6520
(606) 877-3978
Mailing address
740 E LAUREL RD, LONDON, KY 40741-8601
(606) 877-3931
(606) 877-3978

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1953A
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000378007
ANTHEM PROVIDER #
KY
01
50005621
PASSPORT HEALTH PLAN
KY
05
74422999
KY
01
C20887
CUMBERLAND HEALTHCARE INC
KY
01
P00335909
RRMCR
KY
Enumeration date
02/15/2006
Last updated
07/08/2007
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