Tardy, John Steven

Tardy, John Steven is an individual health care provider with primary practice located at 2201 Lexington Ave , Ashland KY 41101. 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. Tardy, John Steven can be contacted via phone (606) 327-4000.

Contact Information

Primary practice address
2201 Lexington Ave Ashland KY 41101
Phone: (606) 327-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1278A Kentucky

Profile Details

NPI number 1699740597
LBN Legal business name Tardy, John Steven
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jun 16th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699740597 NPPES
Kentucky MEDICAID 74008707
Kentucky Other 000000300018
Kentucky MEDICAID 0066937000
Kentucky MEDICAID 2521328

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