institution
Charles B Shane Md Psc
Gynecology Physician in Louisville, Kentucky
NPI 1215067780

Charles B Shane Md Psc is a Gynecology Physician based in Louisville, KY and is specialized in Gynecology. Charles B Shane Md Psc practices in Louisville, KY. The NPI Number for Charles B Shane Md Psc is 1215067780 and holds a License No. 18903 (Kentucky).

The current practice location address for Charles B Shane Md Psc is 4001 Kresge Way, Louisville, KY and can be reached out via phone at 502-895-7445 and via fax at 502-895-6638.

Location: 4001 Kresge Way, Louisville, KY, 40207-4640
institution
Provider Profile Details
NPI Number
1215067780
Provider Name
Charles B Shane Md Psc
Credential
Provider Entity Type
Organization
Address
4001 Kresge Way, Louisville, KY, 40207-4640
Phone Number
502-895-7445
Fax Number
502-895-6638
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64189038 05 KY
000000068700 01 KY ANTHEM
institution
Provider Business Practice Location Address Details
Address
4001 Kresge Way
City
State
Zip
40207-4640
Phone Number
502-895-7445
Fax Number
502-895-6638
person
Provider Business Mailing Address Details
Address
4001 Kresge Way
City
State
Zip
40207-4640
Phone Number
502-895-7445
Fax Number
502-895-6638
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
18903 (Kentucky)
Definition
Definition to come...
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