NPI 1013696723

Kentucky Dental Anesthesia Services

Organisation Anesthesiology Physician Berea, KY

Practice location

Address: 1006 Ace Dr, Berea, KY 40403-1327
Phone: (859) 420-9187

Authorised official

Name: Eric Jacobson
Title: Member
Phone: (859) 420-9187

Registered specialties (3)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

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Pediatric Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP3000X

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Kentucky →

Registry record

NPI: 1013696723
Entity type: Organization
NPI issued: 12 Jul 2023
Record last updated: 30 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.