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Individual
DR. AMBER SHADOAN
Active
Individual
DR. AMBER SHADOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55801
KY
207Q00000X
Family Medicine Physician
60197
TN
207Q00000X
Family Medicine Physician
TP338
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100767630
—
KY
Enumeration date
05/02/2017
Last updated
03/31/2026
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