Individual
SHANE M HIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
635 MAYSVILLE RD # A, MOUNT STERLING, KY 40353-9767
(859) 498-2323
(859) 498-7314
Mailing address
236 W MAIN ST, MOUNT STERLING, KY 40353-1348
(859) 404-7686
(859) 274-4312
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
09000117A
IN
207V00000X
Obstetrics & Gynecology Physician
28140700A
IN
367A00000X
Advanced Practice Midwife
Primary
3014355
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377880
ANTHEM
IN
05
—
200524620
—
IN
05
—
7100659380
—
KY
Enumeration date
12/29/2005
Last updated
04/10/2020
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