OrganizationActive
Allied Anesthesia, PLLC
NPI 1417658956 · Interventional Pain Medicine Physician · Elizabethtown, KY
Provider details
- NPI number
- 1417658956
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Walter Brown, Owner(270) 982-0826
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1118 Woodland Dr
Elizabethtown, KY 42701-2763
Phone: (270) 982-0826
Approximate (ZIP-level) locationGet directions
Mailing address
1118 Woodland Dr
Elizabethtown, KY 42701-2763
Registry dates
- Enumerated
- 2023-03-13
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.