SHAWN GORDEN MD PSC NPI 1356489652

NPI Information

SHAWN GORDEN MD PSC is a specialist in Ashland, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SHAWN GORDEN MD PSC NPI is 1356489652. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

617 23RD ST
STE 6
ASHLAND, KY
ZIP 41101-845
Phone: (606) 326-0024
Fax: (606) 326-0041

The provider's authorized official is Shawn Gorden .
The authorized official title is Pres and has the following contact phone number (606) 326-0024.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 6/26/2008.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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