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

Gary L Waldron, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1417915349

Gary L Waldron, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lebanon, Kentucky. Qualified in 1977, 49 years ago. Practices with Kentucky Anesthesia Group PSC, a 38-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
49
Licensed in
KY
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

320 Loretto Rd
Lebanon, KY 40033-1300
Phone: (270) 692-3161
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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 · Licence 1061368 (KY)

Record details

NPI number1417915349
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedMay 2, 2006
Last updated in NPPESMay 7, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Kentucky Anesthesia Group Psc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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