Organization
C HAMMERLY ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELIA HAMMERLY CRNA (OWNER/SOLE PROPRIETOR)
(317) 873-9594
Entity
Organization
Contact information
Practice address
1601 W LINCOLN RD, KOKOMO, IN 46902-3275
(765) 453-5696
Mailing address
4300 TALLY HO CIR, ZIONSVILLE, IN 46077-8271
(574) 268-9640
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28143711A
IN
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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