Individual
MICHAEL SHANE RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5325 METROPOLIS LAKE RD, WEST PADUCAH, KY 42086-9474
(270) 488-3141
(270) 488-2137
Mailing address
5325 METROPOLIS LAKE RD, WEST PADUCAH, KY 42086-9474
(270) 488-3141
(270) 488-2137
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3156P
KY
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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