Individual
SHANNON E. GRAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
420 STILESVILLE RD, SCIENCE HILL, KY 42553-7410
(606) 219-0900
Mailing address
420 STILESVILLE RD, SCIENCE HILL, KY 42553-7410
(606) 219-0900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
198153
MI
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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