Clifford Lee Hazelwood
Clifford Lee Hazelwood is a Certified Registered Nurse Anesthetist (CRNA) in Hodgenville, Kentucky. Graduated from Kentucky School of Medicine in 2021, 5 years ago. Practices with Professional Anesthesia Services of Kentucky PLLC, a 346-clinician group and accepts Medicare assignment. Licensed in Kentucky.
- Years since qualifying
- 5
- Trained at
- Kentucky School of Medicine
- Licensed in
- KY
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
4470 Bardstown RdHodgenville, KY 42748-9313
Phone: (270) 763-3313
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 3017161 (KY) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 1092982 (KY) |
Record details
| NPI number | 1689340374 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 21, 2021 |
| Last updated in NPPES | January 6, 2023 |
| Certification date | January 6, 2023 |
| Mailing address | 4470 Bardstown Rd, Hodgenville, KY 42748-9313 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | KENTUCKY SCHOOL OF MEDICINE |
| Graduated | 2021 (5 years in practice) |
| Group practice | Professional Anesthesia Services Of Kentucky Pllc — 346 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |