Individual
DENIS J. BEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
100 MALLARD CREEK RD, SUITE 320, LOUISVILLE, KY 40207-4194
(502) 690-8782
(502) 459-0923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002125A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
3004119
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200531030
—
IN
05
—
74010778
—
KY
Enumeration date
06/30/2006
Last updated
04/25/2023
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