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Sandra D. Shanaberger, PA-C
Medical Physician Assistant in Louisville, Kentucky
NPI 1730284076

Sandra D. Shanaberger is a Medical Physician Assistant based in Louisville, KY and is specialized in Medical. Sandra D. Shanaberger practices in Louisville, KY and has the professional credentials of PA-C. The NPI Number for Sandra D. Shanaberger is 1730284076 and holds a License No. PA432 (Kentucky).

The current practice location address for Sandra D. Shanaberger is 1009A N Dupont Sq, Louisville, KY and can be reached out via phone at 502-894-9950.

Location: 1009A N Dupont Sq, Louisville, KY, 40207-2007
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Provider Profile Details
NPI Number
1730284076
Provider Name
Sandra D. Shanaberger
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1009A N Dupont Sq, Louisville, KY, 40207-2007
Phone Number
502-894-9950
Fax Number
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970021516 01 KY RR MEDICARE PIN
CB5773 01 KY RR MEDICARE GROUP
37903705 01 KY MEDICAID LAB GROUP
4000501 01 KY MEDICARE LAB GROUP
95001640 05 KY
institution
Provider Business Practice Location Address Details
Address
1009A N Dupont Sq
City
State
Zip
40207-4612
Phone Number
502-894-9950
Fax Number
person
Provider Business Mailing Address Details
Address
1009A N Dupont Sq
City
State
Zip
40207-4612
Phone Number
502-894-9950
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA432 (Kentucky)
Definition
Definition to come...
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