Individual
MS. KEENA JANEINE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5851
(502) 852-3762
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041416630
IL
367500000X
Certified Registered Nurse Anesthetist
209011062
IL
367500000X
Certified Registered Nurse Anesthetist
234230
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
3009021
KY
Other
Enumeration date
07/02/2013
Last updated
10/23/2014
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