ALICIA R BLANKENDAAL

NORTHSTAR ANESTHESIA OF KENTUCKY, PLLC

Dr ALICIA R BLANKENDAAL is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 2009.

Contact

NORTHSTAR ANESTHESIA OF KENTUCKY, PLLC

1201 PLEASANT VALLEY RD
OWENSBORO
KY
423039811

Tel: 2704172000

ALICIA R BLANKENDAAL Information

Npi 1033449210
Pac Id 2062549553
Professional Enrollment Id I20160127001134
Last Name BLANKENDAAL
First Name ALICIA
Middle Name R
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTHSTAR ANESTHESIA OF KENTUCKY, PLLC
Group Practice Pac Id 8628248069
Number Of Group Practice Members 73
Line 1 Street Address 1201 PLEASANT VALLEY RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OWENSBORO
State KY
Zip Code 423039811
Phone Number 2704172000
Hospital Affiliation Ccn 1 180038
Hospital Affiliation Lbn 1 OWENSBORO HEALTH REGIONAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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