Organization
RESOURCE ANESTHESIOLOGY ASSOCIATES OF KY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC E. KOCH M.D. (PRESIDENT & CEO)
(914) 637-3511
Entity
Organization
Contact information
Practice address
240 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 278-1460
(859) 278-0115
Mailing address
450 MAMARONECK AVE STE 201, HARRISON, NY 10528-2436
(914) 637-2075
(914) 819-0061
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65944431
—
KY
05
—
74901000
—
KY
Enumeration date
11/28/2005
Last updated
04/03/2019
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