Eddy, Gary Lynn

Eddy, Gary Lynn is an individual health care provider with primary practice located at 2201 Lexington Ave , Ashland KY 41101-2843. 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. Eddy, Gary Lynn can be contacted via phone (606) 408-4000.

Contact Information

Primary practice address
2201 Lexington Ave Ashland KY 41101-2843
Phone: (606) 408-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN59696-CRNA West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4232A Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 30042432 Kentucky

Profile Details

NPI number 1508825324
LBN Legal business name Eddy, Gary Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Dec 2nd, 2021 - about 5 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 1508825324 NPPES
Kentucky Other 000000332142 ANTHEM BLUE CROSS BLUE SHIELD
Kentucky MEDICAID 3810000822 ANTHEM BLUE CROSS BLUE SHIELD
Kentucky MEDICAID 74011495 ANTHEM BLUE CROSS BLUE SHIELD
Kentucky MEDICAID 2497696 ANTHEM BLUE CROSS BLUE SHIELD

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