FRED T. MANSMITH

LOUISVILLE, KY
NPI1912953134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  3001440)
Enumeration Date2006-05-26
Last Update Date2011-01-12
Business Address
-- FRED T. MANSMITH CRNA
1850 BLUEGRASS AVE
LOUISVILLE, KY 40215-1161
Phone number: 502-361-6617
Mailing Address
-- FRED T. MANSMITH CRNA
6801 DIXIE HWY SUITE 130
LOUISVILLE, KY 40258-3913
Phone number: 502-361-6617
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