CHARLES B SHANE MD PSC NPI 1215067780

NPI Information

CHARLES B SHANE MD PSC is a gynecology obstetrics gynecology in Louisville, KY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee CHARLES B SHANE MD PSC NPI is 1215067780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4001 KRESGE WAY
SUITE 315
LOUISVILLE, KY
ZIP 40207-640
Phone: (502) 895-7445
Fax: (502) 895-6638

The provider's authorized official is Charles B Shane .
The authorized official title is Owner Physician and has the following contact phone number (502) 895-7445.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 2/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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