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MR. MICHAEL ALLEN SASSEEN CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1194816256

Individual Registrant:
MR. MICHAEL ALLEN SASSEEN CRNA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2501 KENTUCKY AVENUE WESTERN BAPTIST HOSPITAL PADUCHA, KY 42003 US
Tel: 270-575-2100  Fax: --

Contact information for business:
2507 BROADWAY  PADUCAH, KY 42001 US
Tel: 270-442-8228  Fax: 270-442-9566

Registration Information:
NPI: 1194816256
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
KY1076469

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
74005570KY05




HEALTH CARE JOBS KY - Page 1

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