AUSTIN B ELLIOTT

TAS OF KENTUCKY LLC

Dr AUSTIN B ELLIOTT is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2013.

Contact

TAS OF KENTUCKY LLC

1099 MEDICAL CTR CIR
MAYFIELD
KY
420661159

Tel: 2702514100

AUSTIN B ELLIOTT Information

Npi 1073935334
Pac Id 7618107632
Professional Enrollment Id I20140312001955
Last Name ELLIOTT
First Name AUSTIN
Middle Name B
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2013
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 TAS OF KENTUCKY LLC
Group Practice Pac Id 3274856232
Number Of Group Practice Members 10
Line 1 Street Address 1099 MEDICAL CTR CIR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MAYFIELD
State KY
Zip Code 420661159
Phone Number 2702514100
Hospital Affiliation Ccn 1 180116
Hospital Affiliation Lbn 1 JACKSON PURCHASE MEDICAL CENTER
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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