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Individual

DANA A FEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7160
Mailing address
PO BOX 950195, LOUISVILLE, KY 40295-0195
(502) 473-2100

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1098086
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43460
BOARD REGISTRATION
KY
Enumeration date
01/22/2007
Last updated
10/28/2010
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