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Individual

CATHERINE ANJALI PRABHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 587-4404
(502) 587-4156
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221903
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3018013
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300065152
IN
05
7100830940
KY
Enumeration date
06/04/2021
Last updated
08/09/2022
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