Organization
SHANNON ANSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON ANSON B.S. (TARGET CASE MANAGEMENT)
(502) 819-6023
Entity
Organization
Contact information
Practice address
3001 TAYLOR SPRINGS DRIVE, LOUSIVILLE, KY 40220
(502) 819-6023
Mailing address
3210 SOUTH WINCHESTER ACRES, LOUSIVILLE, KY 40223
(502) 819-6023
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M0000X
—
KY
Enumeration date
07/03/2014
Last updated
07/03/2014
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