Individual
MR. PAUL STEVEN PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA - ARNP
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
163WC0200X
Critical Care Medicine Registered Nurse
1079622
KY
163WC0200X
Critical Care Medicine Registered Nurse
307555
OH
163WM0705X
Medical-Surgical Registered Nurse
1079622
KY
163WM0705X
Medical-Surgical Registered Nurse
307555
OH
163WN0002X
Neonatal Intensive Care Registered Nurse
1079622
KY
163WN0002X
Neonatal Intensive Care Registered Nurse
307555
OH
367500000X
Certified Registered Nurse Anesthetist
059072-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
3004373
KY
367500000X
Certified Registered Nurse Anesthetist
NA-08266
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74008566
—
KY
Enumeration date
08/11/2005
Last updated
10/22/2013
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