Organization
EAR NOSE AND THROAT SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G SHASHY MD (OWNER)
(502) 867-7806
Entity
Organization
Contact information
Practice address
1140 LEXINGTON RD, SUITE 102, GEORGETOWN, KY 40324-9330
(502) 867-7806
(502) 867-7836
Mailing address
1140 LEXINGTON RD, SUITE 102, GEORGETOWN, KY 40324-9330
(502) 867-7806
(502) 867-7836
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/09/2006
Last updated
10/08/2019
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