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Individual

TERRI J HEMMERICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
ONE MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, #258, EDGEWOOD, KY 41017
(859) 341-7246
(859) 341-7867

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1056104
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000288580
ANTHEM BLUE SHIELD
05
0382698
OH
05
74103714
KY
Enumeration date
02/21/2006
Last updated
02/28/2008
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