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Organization
GARY A. SHEARER MD LLC
Active
Organization
GARY A. SHEARER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A SHEARER M.D. (PRESIDENT)
(859) 746-2880
Entity
Organization
Contact information
Practice address
7210 TURFWAY RD, FLORENCE, KY 41042-5117
(859) 746-2880
(859) 746-2881
Mailing address
7210 TURFWAY RD, FLORENCE, KY 41042-5117
(859) 746-2880
(859) 746-2880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
KY
133V00000X
Registered Dietitian
—
KY
207Q00000X
Family Medicine Physician
Primary
—
KY
2084P0015X
Psychosomatic Medicine Physician
0629801
KY
332B00000X
Durable Medical Equipment & Medical Supplies
0629801
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363A00000X
Physician Assistant
—
KY
363LF0000X
Family Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100011290
—
KY
01
—
DE9299
RAILROAD MEDICARE
KY
Enumeration date
05/11/2006
Last updated
04/16/2012
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