Individual
DR. CAROLYN SHAMMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 WASHINGTON AVE STE 220, LEXINGTON, KY 40536-0003
(859) 218-2100
Mailing address
111 WASHINGTON AVE STE 220, LEXINGTON, KY 40536-0003
(859) 218-2100
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
R3618
KY
390200000X
Student in an Organized Health Care Education/Training Program
256512
MA
Other
Enumeration date
05/29/2013
Last updated
07/14/2015
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