Individual
SILAS SHANE MCFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MEDICAL CENTER DR, HAZARD, KY 41701-9421
(606) 439-6600
Mailing address
100 MEDICAL CENTER DR, HAZARD, KY 41701-9421
(606) 439-6600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
21707
TN
367500000X
Certified Registered Nurse Anesthetist
3006351
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100103470
—
KY
Enumeration date
01/28/2010
Last updated
11/02/2016
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