Organization
PLJ ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD CHAMBERLAIN CRNA (PARTNER)
(423) 240-8206
Entity
Organization
Contact information
Practice address
1625 NASHVILLE ST, RUSSELLVILLE, KY 42276-8853
(270) 726-4011
(270) 726-2008
Mailing address
PO BOX 293126, NASHVILLE, TN 37229-3126
(615) 620-2320
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74900317
—
KY
Enumeration date
08/26/2005
Last updated
07/21/2022
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