Organization
MURFREESBORO ANESTHESIA GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH F CAISSIE MD (PRESIDENT)
(615) 410-7873
Entity
Organization
Contact information
Practice address
1800 MEDICAL CENTER PKWY, SUITE 330, MURFREESBORO, TN 37129-2567
(615) 410-7873
(615) 410-7905
Mailing address
PO BOX 1252, MURFREESBORO, TN 37133-1252
(615) 396-4464
(615) 396-6748
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
—
3371455
—
TN
Enumeration date
05/17/2006
Last updated
04/24/2023
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