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Individual

SONYA CAROL WORTHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1089660
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3005934
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000601743
KY BLUE SHIELD
KY
05
201208800
IN
01
3709652000
PASSPORT ADVANTAGE
KY
01
50023549
PASSPORT
KY
05
7100109410
KY
Enumeration date
12/12/2008
Last updated
01/17/2024
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