Provider Demographics
NPI:1891729646
Name:DENNIG, LOUIS RICHARD (CRNA)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:RICHARD
Last Name:DENNIG
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:3262 RIDGETOP WAY
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3245
Mailing Address - Country:US
Mailing Address - Phone:859-341-8614
Mailing Address - Fax:859-341-8614
Practice Address - Street 1:3200 VINE ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:513-475-6477
Practice Address - Fax:513-487-6663
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHNA-03305367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered