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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE ADAM DANIELL, PA

Active

SHANE ADAM DANIELL, PA is a Physician Assistant healthcare provider located in KINGSPORT, Tennessee. NPI 1396187027 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · KINGSPORT, TN

Registration Details

NPI Number
1396187027
Provider Type
Individual
Gender
Male
NPI Issued
Jul 23, 2013 (13.050813978197 yrs)
Last Updated
Dec 16, 2015
License
PA2379 (TN)

Practice Information

Address
105 W STONE DR
STE 3A
KINGSPORT, TN, 376603365
Browse TN providers · Browse ZIP 37660
Phone
4233926200
Fax
4233926593
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in KINGSPORT, TN

Name Credential NPI
MRS. JENNIFER C COMPTON P.A. 1467457341
MR. PAUL DIERS PA-C 1124060140
MRS. MAUREEN A KNECHTEL PA 1821021932
SANDRA MCCRARY PA 1699700922
ANNETTE SKIDMORE PA 1225063480
TERRY K. CARLE P.A. 1851310353
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.