CARL EDMOND WISECAVER

DANVILLE, KY
NPI1144737982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  3011958)
Enumeration Date2018-01-02
Last Update Date2018-01-02
Business Address
CARL EDMOND WISECAVER CRNA
230 W MAIN ST STE 200
DANVILLE, KY 40422-1873
Phone number: 859-236-3726
Mailing Address
CARL EDMOND WISECAVER CRNA
7406 LONG SHOT LN
KNOXVILLE, TN 37918-1024
Phone number: 865-315-0090
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