Individual
DONNIE SHAPAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 PROFESSIONAL PARK DR, LOUISA, KY 41230-9644
(606) 356-0129
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(160) 632-9858
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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