Individual
MR. DARYL DEGUIRE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
131 HOSPITAL DR, SALEM, KY 42078-8043
(270) 988-2299
(270) 988-3900
Mailing address
131 HOSPITAL DR, SALEM, KY 42078-8043
(270) 988-2299
(270) 988-3900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
034466
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323574
BC/BS
KY
05
—
74069410
—
KY
Enumeration date
12/13/2005
Last updated
07/08/2007
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