Individual
PATRISHA SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
401 E CHESTNUT ST UNIT 690, LOUISVILLE, KY 40202-5706
(502) 588-4710
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-2840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04922
KY
207R00000X
Internal Medicine Physician
OS16809
FL
207R00000X
Internal Medicine Physician
UO5380
FL
207RP1001X
Pulmonary Disease Physician
Primary
04922
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100882710
—
KY
Enumeration date
03/20/2017
Last updated
05/30/2024
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