TIVA OBA, L.L.C.
Nursing at Razor Creek Way, Louisville, KY

License number
Kentucky 3005577
Category
Nursing
Type
Nurse Anesthetist, Certified Registered
Owner
Name: CHRISTOPHER PAUL BOWEN CRNA, APRN
Title: PRESIDENT
Phone: (502) 797-1567
Address
Address
4729 Razor Creek Way, Louisville, KY 40299
National Provider ID: 1740543990
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TIVA OBA, L.L.C. at bizstanding.com

TIVA OBA, LLC

4729 Razor Crk Way, Louisville, KY 40299

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Doing business as:
DENTTIVA
Registration:
Aug 26, 2011
State ID:
0798953
Business type:
Kentucky Limited Liability Company
Member, Aprn, President, Principal:
Christopher Paul Bowen (Member, Aprn, President, Principal)

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