Individual
MR. ADAM SHANE DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
632 N 12TH ST # 230, MURRAY, KY 42071-1651
(859) 948-8389
Mailing address
632 N 12TH ST # 230, MURRAY, KY 42071-1651
(859) 948-8389
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3006454
KY
Other
Enumeration date
04/30/2010
Last updated
12/17/2013
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