Individual
SHANA W GEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
131 HOSPITAL DR, SALEM, KY 42078-8043
(270) 988-2299
Mailing address
1450 STATE ROUTE 654 N, MARION, KY 42064-5469
(270) 965-2131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3005005
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000497580
ANTHEM BCBS PIN
KY
01
—
3005005
LICENSE
KY
Enumeration date
10/19/2006
Last updated
03/27/2019
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