NPI 1417658956 · live from the CMS NPI Registry
Allied Anesthesia, PLLC
Pain Medicine, Interventional Pain Medicine in Elizabethtown, KY. National Provider Identifier 1417658956, active.
NPI record
| NPI | 1417658956 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pain Medicine, Interventional Pain Medicine 208VP0014X |
| Practice location | 1118 Woodland Dr, Elizabethtown, KY 42701 |
| Practice phone | 270-982-0826 |
| Enumerated | March 13, 2023 |
| Last updated | July 31, 2026 |
| Authorized official | Walter Brown, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Pain Medicine | 207LP2900X | — |
| Family Medicine | 207Q00000X | — |
| Pain Medicine, Interventional Pain Medicine primary | 208VP0014X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.