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Individual

SHELBY N KATZ

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
740 E LAUREL RD, LONDON, KY 40741-8601
(606) 877-3931
(606) 877-3978
Mailing address
310 E 9TH ST, LONDON, KY 40741-1204
(606) 877-3931
(606) 877-3978

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33884
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000390663
ANTHEM
KY
01
50010025
PASSPORT
KY
05
64063902
KY
01
C16209
CHI
KY
Enumeration date
05/26/2006
Last updated
07/08/2007
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