Individual
STANLEY EFFIONG COBHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 ROSE ST STE 200, LEXINGTON, KY 40536-2604
(859) 323-5956
(859) 323-1080
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9266562
FL
367500000X
Certified Registered Nurse Anesthetist
11005753
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
4032250
KY
367500000X
Certified Registered Nurse Anesthetist
AP145995
TX
Other
Enumeration date
11/07/2019
Last updated
12/18/2024
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