Provider Demographics
NPI:1376506717
Name:FRANCE, ANTHONY R (CRNA)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:R
Last Name:FRANCE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-1960
Mailing Address - Country:US
Mailing Address - Phone:270-885-1640
Mailing Address - Fax:270-889-0628
Practice Address - Street 1:103 W 18TH ST
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-1960
Practice Address - Country:US
Practice Address - Phone:270-885-1640
Practice Address - Fax:270-889-0628
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1436367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY74413006Medicaid
0680805Medicare ID - Type Unspecified
KY74413006Medicaid