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Devon Michelle Shaut
Sports Medicine (Preventive Medicine) Physician in Owensboro, Kentucky
NPI 1427663251

Devon Michelle Shaut is a Sports Medicine (Preventive Medicine) Physician based in Owensboro, KY and is specialized in Sports Medicine. Devon Michelle Shaut practices in Owensboro, KY. The NPI Number for Devon Michelle Shaut is 1427663251 and holds a License No. 2000039774 (Kentucky).

The current practice location address for Devon Michelle Shaut is 3000 Frederica St, Owensboro, KY and can be reached out via phone at 651-270-3801.

Location: 3000 Frederica St, Owensboro, KY, 42301
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Provider Profile Details
NPI Number
1427663251
Provider Name
Devon Michelle Shaut
Credential
Provider Entity Type
Individual
Gender
Female
Address
3000 Frederica St, Owensboro, KY, 42301
Phone Number
651-270-3801
Fax Number
Provider Enumeration Date
09/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2000039774 01 KY BOARD OF CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
3000 Frederica St
City
State
Zip
42301-4230
Phone Number
651-270-3801
Fax Number
person
Provider Business Mailing Address Details
Address
3000 Frederica St
City
State
Zip
42301-4230
Phone Number
651-270-3801
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Sports Medicine
Taxonomy
License No.
2000039774 (Kentucky)
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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