Bangha, Genesis Song

Bangha, Genesis Song is an individual health care provider with primary practice located at 1740 Nicholasville Rd , Lexington KY 40503-1431. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bangha, Genesis Song can be contacted via phone (859) 260-6100.

Contact Information

Primary practice address
1740 Nicholasville Rd Lexington KY 40503-1431
Phone: (859) 260-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 102393 South Carolina

Profile Details

NPI number 1366858169
LBN Legal business name Bangha, Genesis Song
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2014
Last updated Jan 9th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers