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Individual

JING ZHOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202
(520) 852-8266
Mailing address
3505 MEADOW CT, LOUISVILLE, KY 40218-1324

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1099526
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3004787
KY
367500000X
Certified Registered Nurse Anesthetist
4787A
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200862300
IN
05
74011891
KY
Enumeration date
03/08/2006
Last updated
11/02/2020
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