Individual
SHAWNA M. SEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
166 HOSPITAL ST, MONTICELLO, KY 42633-2416
(606) 340-3251
(606) 348-0618
Mailing address
166 HOSPITAL ST, MONTICELLO, KY 42633-2416
(606) 340-3251
(606) 348-0618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03246
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000653221
ANTHEM BC & BS
KY
01
—
03246
LICENSE
KY
05
—
7100104900
—
KY
Enumeration date
05/10/2006
Last updated
02/23/2015
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