Individual
SHANE SLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-NP
Contact information
Practice address
211 FOUNTAIN CT STE 210, LEXINGTON, KY 40509-2696
(859) 629-7145
(859) 276-5939
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011036
KY
363LA2100X
Acute Care Nurse Practitioner
3011036
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100450520
—
KY
Enumeration date
01/17/2017
Last updated
02/20/2018
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