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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH WAYNE EDMISSON JR., ND EDD RNC FNP CRNA

Active Sole Proprietor

DR. KENNETH WAYNE EDMISSON JR., ND EDD RNC FNP CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PADUCAH, Kentucky. NPI 1295731081 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · PADUCAH, KY

Registration Details

NPI Number
1295731081
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2005 (21.094648322988 yrs)
Last Updated
Oct 4, 2011
Licenses
APN0000006429 (TN)
0024162111 (VA)
3007055 (KY)
6429 (TN)
1659 (TX)
Sole Proprietor
Yes

Practice Information

Address
225 MEDICAL CENTER DR
#405
PADUCAH, KY, 420037914
Browse KY providers · Browse ZIP 42003
Phone
2704414750
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X
Additional Specialty
Family Nurse Practitioner

Other Certified Nurse Anesthetist (CRNA) Providers in PADUCAH, KY

Name Credential NPI
DONALD KENNETH STEWART CRNA 1124013800
MR. GARY A MILLER CRNA 1245227065
MRS. CYBIL ANNE TRUE CRNA 1487635660
MARKENA L PRICE CRNA 1205892395
BETTY DIANNE SANDLIN CRNA 1740247758
MRS. THELMA OESTREICH HETTLER CRNA 1891752689
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.