Organization
SHELBY ONE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW STIVERS (PRESIDENT)
(502) 229-1744
Entity
Organization
Contact information
Practice address
30 MAIN ST, SHELBYVILLE, KY 40065-1020
(502) 229-1744
Mailing address
30 MAIN ST, SHELBYVILLE, KY 40065-1020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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