About Shane K. Wallace
He is located at 911 Bypass Rd Bldg A, , in Pikeville, KY 41501. Appointment can be made via the phone number (606) 430-3500.
Shane K. Wallace - Address, Phone & Website
911 Bypass Rd Bldg A, , Pikeville, KY 41501
(606) 430-3500
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Certified Registered Nurse Anesthetist | 367500000X |
| No | Registered Nurse | 163W00000X |
| No | Certified Registered Nurse Anesthetist | 367500000X |
| No | Certified Registered Nurse Anesthetist | 367500000X |
Licenses
| State | License Number |
|---|---|
| Kentucky | 3008218 |
| Virginia | 0001179608 |
| Virginia | 0024168171 |
| Tennessee | 33501 |