Individual
KAREN C WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
231 E CHESTNUT ST, KOSAIR CHILDRENS HOSPITAL, LOUISVILLE, KY 40202-1821
(502) 451-9949
(502) 451-4553
Mailing address
PO BOX 740041, DEPT 5090, LOUISVILLE, KY 40201-7441
(502) 451-9949
(502) 451-4553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1079879
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
5123A
KY
Other
Enumeration date
11/17/2006
Last updated
01/02/2009
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