EVERETT R VITAL

LEXINGTON, KY
NPI1083779334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  1044A)
Enumeration Date2006-12-27
Last Update Date2007-07-08
Business Address
-- EVERETT R VITAL CRNA
800 ROSE ST
LEXINGTON, KY 40536-0293
Phone number: 859-323-5956
Mailing Address
-- EVERETT R VITAL CRNA
138 LEADER AVE
LEXINGTON, KY 40508-3215
Phone number: 859-257-7910
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