ADAM SHANE DAVID

MURRAY, KY
NPI1083931034
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  3006454)
Enumeration Date2010-04-30
Last Update Date2013-12-17
Business Address
Mr. ADAM SHANE DAVID CRNA
632 N 12TH ST # 230
MURRAY, KY 42071-1651
Phone number: 859-948-8389
Mailing Address
Mr. ADAM SHANE DAVID CRNA
632 N 12TH ST # 230
MURRAY, KY 42071-1651
Phone number: 859-948-8389
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