Provider Demographics
NPI:1598011249
Name:RESOURCE ANESTHESIA KENTUCKY INC
Entity Type:Organization
Organization Name:RESOURCE ANESTHESIA KENTUCKY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEAM LEAD/CREDENTIALS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCMILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-777-0909
Mailing Address - Street 1:12752 KINGSTON PIKE
Mailing Address - Street 2:SUITE E202
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-0948
Mailing Address - Country:US
Mailing Address - Phone:865-777-0909
Mailing Address - Fax:865-777-0910
Practice Address - Street 1:723 BURKESVILLE HWY
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:KY
Practice Address - Zip Code:42602-1654
Practice Address - Country:US
Practice Address - Phone:606-387-6421
Practice Address - Fax:865-777-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty