JEFFREY STORMER

EDGEWOOD, KY
NPI1639154685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  023081)
Additional Taxonomies163W00000X Registered Nurse
(Licence: KY  1028649)
163W00000X Registered Nurse
(Licence: OH  154045)
367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  NA00804)
Enumeration Date2005-12-13
Last Update Date2016-09-16
Business Address
-- JEFFREY STORMER CRNA
20 MEDICAL VILLAGE DR STE 258
EDGEWOOD, KY 41017-5401
Phone number: 859-341-2666
Mailing Address
-- JEFFREY STORMER CRNA
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017-3403
Phone number: 859-301-2000