Individual
JAMES M SHILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
310 E 9TH ST, LONDON, KY 40741-1204
(606) 877-3931
(606) 877-3978
Mailing address
740 E LAUREL RD, LONDON, KY 40741-8601
(606) 877-3931
(606) 877-3978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
709A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000390578
ANTHEM
KY
01
—
50009629
PASSPORT HEALTH PLAN
KY
05
—
74007097
—
KY
01
—
C20356
CUMBERLAND HEALTHCARE INC
KY
Enumeration date
03/31/2006
Last updated
07/08/2007
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