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Individual

MRS. DENISE C. ROOF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
225 MEDICAL CENTER DR, SUITE 308, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770
Mailing address
225 MEDICAL CENTER DR, SUITE 308, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3003942
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000361142
BCBS
05
74006040
KY
01
P00279351
RAILROAD MEDICARE
Enumeration date
10/03/2006
Last updated
07/16/2013
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