Everett R Vital CRNA

NPI 1083779334 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1083779334
Gender Male
Enumeration Date 12/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
800 ROSE ST
LEXINGTON KY, 40536-0293, US
Phone (859) 323-5956
Fax (859) 323-1080
Business Location
138 LEADER AVE
LEXINGTON KY, 40508-3215, US
Phone (859) 257-7910
Fax (859) 257-7899
Toxanomy
Taxonomy Code 367500000X
License State Kentucky
License Number 1044A
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According to our database, Everett R Vital CRNA NPI is 1083779334, taxonomy code is 367500000X and license number is 1044A, license state is located at Kentucky. Everett R Vital CRNA physically located at 800 Rose St, Lexington KY, 40536-0293. NPI Number Everett R Vital CRNA has the Individual type.

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1083779334 NPI number is provided on an as is basis without warranty of any kind. 1083779334 is maintained by the National Plan & Provider Enumeration System. The contents of Everett R Vital CRNA are for informational purposes only.