Anesthesiology
MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1710951116 · enumerated 2006-02-14 · record updated 2011-06-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mrs. KANDI REA, Credentialing Specialist · (606) 330-7808
Addresses and phones
- Practice location 1001 SAINT JOSEPH LANE, LONDON, KY, 40741-8345 (606) 330-6000 Fax (606) 330-7825 Google Maps Apple Maps OpenStreetMap
- Mailing address 740 E LAUREL RD, LONDON, KY, 40741-8601 (606) 330-7808 Fax (606) 330-7825 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X
- Internal Medicine, Endocrinology, Diabetes & Metabolism 207RE0101X
- Internal Medicine, Pulmonary Disease 207RP1001X
- Pediatrics, Adolescent Medicine 2080A0000X
- Psychiatry & Neurology, Neurology 2084N0400X
- Radiology, Diagnostic Radiology 2085R0202X
- Surgery 208600000X · License 40293 KY
- Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
- Hospitalist 208M00000X
- Orthopaedic Surgery 207X00000X
- Nurse Practitioner, Family 363LF0000X
- Physician Assistant, Surgical 363AS0400X
- Clinic/Center, Rural Health 261QR1300X
- Podiatrist, Foot & Ankle Surgery 213ES0103X
- Anesthesiology 207L00000X · Primary
In this directory
Locations and evidence
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Practice location
LONDON, KY, 407418345
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.