Individual
STEVEN D SHOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2944 BRECKENRIDGE LN, LOUISVILLE, KY 40220-1409
(502) 893-0159
Mailing address
2944 BRECKENRIDGE LN, LOUISVILLE, KY 40220-1409
(502) 893-0159
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
31460
KY
207Y00000X
Otolaryngology Physician
01056919A
IN
207Y00000X
Otolaryngology Physician
Primary
31460
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040017573
MEDICARE RR
KY
05
—
64314602
—
KY
Enumeration date
06/28/2005
Last updated
11/15/2022
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