Individual
KURT A. BRESCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 SAINT JOSEPH DR, LEXINGTON, KY 40504-3742
(859) 313-1000
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
3005717
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002740101
—
TX
Enumeration date
07/13/2005
Last updated
10/17/2013
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