Individual
SHAWN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(860) 545-2797
Mailing address
206 CAMBRIDGE COMMONS, MIDDLETOWN, CT 06457-5868
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
004558
CT
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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