Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prodigy Office Anesthesia, LLC

Organization Certified Registered Nurse Anesthetist · NPI 1639950140

Prodigy Office Anesthesia, LLC is a Certified Registered Nurse Anesthetist in Corbin, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1710 Cumberland Falls Hwy
Corbin, KY 40701-2727
Phone: (606) 528-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1639950140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Small — Organizer · (304) 741-4957
NPI enumeratedOctober 10, 2023
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address917 Country Oaks Dr, Richmond, KY 40475-8492

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