JUSTIN TYLER NEIDIG

LEXINGTON, KY
NPI1265905806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  3012999)
Enumeration Date2019-01-07
Last Update Date2022-07-18
Business Address
JUSTIN TYLER NEIDIG CRNA
800 ROSE ST
LEXINGTON, KY 40536-1431
Phone number: 859-323-5956
Mailing Address
JUSTIN TYLER NEIDIG CRNA
425 LEWIS HARGETT CIR
LEXINGTON, KY 40503-3590
Phone number: 859-268-1030
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