Individual
JANA KATHLEEN GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 WOOD AVE, PADUCAH, KY 42003-1470
(270) 564-0250
Mailing address
430 WOOD AVE, PADUCAH, KY 42003-1470
(270) 564-0250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4027624
KY
Other
Enumeration date
11/21/2022
Last updated
09/18/2024
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