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Individual

KRISTEN H GENTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1301 N RACE ST, GLASGOW, KY 42141-3483
(270) 651-4134
(270) 651-4234
Mailing address
1301 N RACE ST, GLASGOW, KY 42141-3483
(270) 651-4134
(270) 651-4234

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1140833
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
128817
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100649690
KY
Enumeration date
12/08/2019
Last updated
03/23/2022
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