Individual
MR. JEFFREY ALLEN MAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
989 MEDICAL PARK DR, MAYSVILLE, KY 41056-8750
(606) 759-5311
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5137A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157590001
—
AR
05
—
7100003490
—
KY
Enumeration date
06/30/2006
Last updated
07/11/2013
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