Individual
LADONNA JOY CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 745-1000
(270) 393-1913
Mailing address
825 2ND AVE, SUITE C6, BOWLING GREEN, KY 42101-1786
(270) 393-1912
(270) 393-1913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
661A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000481307
BLUE CROSS
KY
05
—
74342668
—
KY
01
—
P00353813
RAILROAD MEDICARE
KY
Enumeration date
04/18/2006
Last updated
09/08/2016
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