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Dr. Vanessa Jane Shank, MD
General Practice Physician in Fort Knox, Kentucky
NPI 1053394940

Vanessa Jane Shank is a General Practice Physician based in Elizabethtown, KY. Vanessa Jane Shank practices in Fort Knox, KY and has the professional credentials of MD. The NPI Number for Vanessa Jane Shank is 1053394940 and holds a License No. 01056852A (Kentucky).

The current practice location address for Vanessa Jane Shank is 289 Ireland Ave, Fort Knox, KY and can be reached out via phone at 502-624-9864.

Location: 289 Ireland Ave, Fort Knox, KY, 42701-4481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053394940
Provider Name
Vanessa Jane Shank
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
289 Ireland Ave, Fort Knox, KY, 42701-4481
Phone Number
502-624-9864
Fax Number
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01056852A 01 IN GENERAL PRACTICE
institution
Provider Business Practice Location Address Details
Address
289 Ireland Ave
City
Fort Knox
State
Kentucky
Zip
40121-5111
Phone Number
502-624-9864
Fax Number
person
Provider Business Mailing Address Details
Address
289 Ireland Ave
City
Fort Knox
State
Kentucky
Zip
40121-5111
Phone Number
502-624-9864
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
01056852A (Indiana)
Definition
Definition to come...
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