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Contact Information

PLATINUM ANESTHESIA LLC
4205 SPRINGHURST BLVD STE 101
LOUISVILLE, KY40241-6159
 Phone: 502-352-2530
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Hospice and Palliative Medicine

207LH0002X 05 Physician/Anesthesiology
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for PLATINUM ANESTHESIA LLC · (Female)

NPI # 1720660095
Status Active
Credentials
Entity Individual
Enumeration date 04/26/2021
Last updated 06/01/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 7100756810
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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