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Stag Blair Shadduck
Physician Assistant in Edgewood, Kentucky
NPI 1962093674

Stag Blair Shadduck is a Physician Assistant based in Edgewood, KY. Stag Blair Shadduck practices in Edgewood, KY. The NPI Number for Stag Blair Shadduck is 1962093674 and holds a License No. TC072 (Kentucky).

The current practice location address for Stag Blair Shadduck is 560 S Loop Rd, Edgewood, KY and can be reached out via phone at 859-301-2663 and via fax at 859-817-7848.

Location: 560 S Loop Rd, Edgewood, KY, 41017-3405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962093674
Provider Name
Stag Blair Shadduck
Credential
Provider Entity Type
Individual
Gender
Male
Address
560 S Loop Rd, Edgewood, KY, 41017-3405
Phone Number
859-301-2663
Fax Number
859-817-7848
Provider Enumeration Date
01/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
560 S Loop Rd
City
Edgewood
State
Kentucky
Zip
41017-3405
Phone Number
859-301-2663
Fax Number
859-817-7848
person
Provider Business Mailing Address Details
Address
560 S Loop Rd
City
Edgewood
State
Kentucky
Zip
41017-3405
Phone Number
859-301-2663
Fax Number
859-817-7848
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
TC072 (Kentucky)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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