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CHRISTINE CHRISTENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3065 S COLLINS RD, DOVER, KY 41034-9616
(606) 882-3964
Mailing address
3065 S COLLINS RD, DOVER, KY 41034-9616
(606) 882-3964

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4521A
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74009564
KY
05
97863
OH
Enumeration date
08/12/2005
Last updated
08/11/2015
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