CAMRON REZA ANSARI

EDGEWOOD, KY
NPI1609029107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  081074)
Additional Taxonomies163W00000X Registered Nurse
(Licence: KY  1104576)
Enumeration Date2008-10-28
Last Update Date2009-07-22
Business Address
-- CAMRON REZA ANSARI
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017-3403
Phone number: 859-341-7246
Mailing Address
-- CAMRON REZA ANSARI
20 MEDICAL VILLAGE DR 258
EDGEWOOD, KY 41017-5401
Phone number: 859-341-7246