Individual
SHAWN F KINROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1303 N MAIN ST, CEDAR CITY, UT 84720-9746
(801) 993-9501
(801) 733-5872
Mailing address
325 S STACI CT, CEDAR CITY, UT 84720-1828
(435) 586-6573
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
309521-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100505398
FIRST HEALTH
UT
01
—
107021855101
IHC
UT
01
—
2000631
UNITED HEALTHCARE
UT
01
—
200262965SFK
EDUCATORS MUTUAL
UT
01
—
20638
HEALTHY U
UT
01
—
80053
PEHP
UT
01
—
809586
DESERET MUTUAL
UT
01
—
QM0000072386
ALTIUS
UT
01
—
TPRA08339
MOLINA
UT
Enumeration date
08/19/2006
Last updated
05/21/2019
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