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COURTNEY DIANE FEDERSPIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-5956
(859) 323-1080
Mailing address
1219 KASTLE RD, LEXINGTON, KY 40502-2256
(859) 801-2040

Taxonomy

Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
1153756
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3017821
KY

Other

Enumeration date
10/03/2021
Last updated
07/26/2022
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