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Individual

MRS. GAYLA SHOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
141 N EAGLE CREEK DR STE 200, LEXINGTON, KY 40509-2538
(859) 323-9897
Mailing address
2751 BAY PARK DRIVE, #300, OREGON, OH 43616
(419) 690-7596
(419) 697-6707

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
00000
KY
367A00000X
Advanced Practice Midwife
Primary
56331
KY
367A00000X
Advanced Practice Midwife
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0197005
OH
01
H558270
OHIO MEDICARE
OH
Enumeration date
07/09/2014
Last updated
07/21/2022
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