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Organization

FIRST UROLOGY, PSC

Active
Parent organization
FIRST UROLOGY, PSC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FIRST UROLOGY, PSC
Authorized official
MICHAEL J SHANNON (CEO)
(812) 282-3899
Entity
Organization

Contact information

Practice address
2400 EASTPOINT PKWY, SUITE 560, LOUISVILLE, KY 40223-4154
(502) 897-7172
(812) 282-4172
Mailing address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65906414
KY
05
78902830
KY
Enumeration date
04/12/2012
Last updated
10/22/2025
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