Individual
JOHN MARK SWANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 430-3500
(606) 437-1033
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-3500
(606) 437-1033
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3005250
KY
367500000X
Certified Registered Nurse Anesthetist
5250A
KY
367500000X
Certified Registered Nurse Anesthetist
RN0000139182
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3632310
—
TN
Enumeration date
08/25/2005
Last updated
10/05/2022
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