Individual
KATHY E SHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-6179
(740) 772-7892
(740) 773-1264
Mailing address
PO BOX 6179, 4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-6179
(740) 772-7892
(740) 773-1264
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35052006
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000254658
ANTHEM
OH
05
—
0610806
—
OH
01
—
246799000
MAGELLAN
OH
Enumeration date
06/06/2006
Last updated
12/19/2011
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