Provider Demographics
NPI:1497992341
Name:OHLER, SCOTT KENDALL (CRNA)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:KENDALL
Last Name:OHLER
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:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40743-0936
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4305 NEW SHEPHERDSVILLE RD
Practice Address - Street 2:ANESTHESIA DEPARTMENT
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-9019
Practice Address - Country:US
Practice Address - Phone:502-350-5032
Practice Address - Fax:502-350-5022
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3005898367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS3005898OtherAPRN LICENSE
KY7100075270Medicaid
KY50031585OtherPASSPORT
KY7100075270Medicaid
KY50031585OtherPASSPORT
KYK149890 (KOHMG)Medicare PIN