Southeast Mobile Anesthesia LLC
Anesthesiology in Hebron, KY. Organization (NPI-2).
NPI number1033433503
StatusActive
Last updated in NPPESMar 26, 2010
Details
- NPI
- 1033433503
- Entity type
- Organization (NPI-2)
- Legal business name
- Southeast Mobile Anesthesia LLC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2010
- Last updated
- Mar 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 40009 | KY | Yes |
Practice location
1727 Coachtrail DrHebron, KY 41048-8476
Phone 859-409-2022 · Fax 513-332-9225
Mailing address
1727 Coachtrail DrHebron, KY 41048-8476
Phone 859-409-2022 · Fax 513-332-9225
Authorized official
Mark Jackson
President
8594092022
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