Provider Demographics
NPI:1033406160
Name:COMPREHENSIVE ANESTHESIA SERVICES LLP
Entity Type:Organization
Organization Name:COMPREHENSIVE ANESTHESIA SERVICES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-737-5200
Mailing Address - Street 1:108 FINANCIAL PL
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-8449
Mailing Address - Country:US
Mailing Address - Phone:270-737-5200
Mailing Address - Fax:270-737-2422
Practice Address - Street 1:108 FINANCIAL PL
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-8449
Practice Address - Country:US
Practice Address - Phone:270-737-5200
Practice Address - Fax:270-737-2422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-11
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY26059207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYPENDINGMedicaid