Individual
SHAD ANTHONY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-1326
(859) 323-5956
(859) 323-1080
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4042789
KY
Other
Enumeration date
05/09/2024
Last updated
06/20/2025
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