Individual
KAREN QUEALY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3131 QUEEN CITY AVENUE, OHIO VALLEY ANETHESIA LLC, CINCINNATI, OH 45238
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DRIVE #258, OHIO VALLEY ANESTHESIA LLC, EDGEWOOD, KY 41017
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
152025
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230806
ANTHEM BLUE SHIELD
—
05
—
0783291
—
OH
01
—
74004763
MEDICAID
KY
01
—
74004763
INDIANA MEDICAID
—
Enumeration date
04/19/2006
Last updated
07/08/2007
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