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Shane Timothy Desimone, MD
Diagnostic Radiology Physician in Greensburg, Kentucky
NPI 1285736462

Shane Timothy Desimone is a Diagnostic Radiology Physician based in Greensburg, KY and is specialized in Diagnostic Radiology. Shane Timothy Desimone practices in Greensburg, KY and has the professional credentials of MD. The NPI Number for Shane Timothy Desimone is 1285736462 and holds a License No. T2005018779 (Kentucky).

The current practice location address for Shane Timothy Desimone is 202-206 Milby Street, Greensburg, KY and can be reached out via phone at 270-932-4211 and via fax at 270-299-2041.

Location: 202-206 Milby Street, Greensburg, KY, 42743-0220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285736462
Provider Name
Shane Timothy Desimone
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
202-206 Milby Street, Greensburg, KY, 42743-0220
Phone Number
270-932-4211
Fax Number
270-299-2041
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100126300 05 KY
institution
Provider Business Practice Location Address Details
Address
202-206 Milby Street
City
Greensburg
State
Kentucky
Zip
42743
Phone Number
270-932-4211
Fax Number
270-299-2041
person
Provider Business Mailing Address Details
Address
202-206 Milby Street
City
Greensburg
State
Kentucky
Zip
42743
Phone Number
270-932-4211
Fax Number
270-299-2041
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
T2005018779 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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