person
Charles B Shane, MD
Gynecology Physician in Louisville, Kentucky
NPI 1386617298

Charles B Shane is a Gynecology Physician based in Louisville, KY and is specialized in Gynecology. Charles B Shane practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Charles B Shane is 1386617298 and holds a License No. 18903 (Kentucky).

The current practice location address for Charles B Shane is 205 Sycamore Hills Ct, Louisville, KY and can be reached out via phone at 502-243-8330 and via fax at 502-243-8330.

Location: 205 Sycamore Hills Ct, Louisville, KY, 40245-5095
person
Provider Profile Details
NPI Number
1386617298
Provider Name
Charles B Shane
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
205 Sycamore Hills Ct, Louisville, KY, 40245-5095
Phone Number
502-243-8330
Fax Number
502-243-8330
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000068700 01 KY ANTHEM
64189038 05 KY
institution
Provider Business Practice Location Address Details
Address
205 Sycamore Hills Ct
City
State
Zip
40245-5095
Phone Number
502-243-8330
Fax Number
502-243-8330
person
Provider Business Mailing Address Details
Address
205 Sycamore Hills Ct
City
State
Zip
40245-5095
Phone Number
502-243-8330
Fax Number
502-243-8330
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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