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Individual

ALBEN B. SHOCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
151 N GARDENMILE RD, HENDERSON, KY 42420-5543
(812) 485-6030
(812) 485-6032
Mailing address
2211 MAYFAIR DR, SUITE 101, OWENSBORO, KY 42301-4568
(270) 688-1352
(270) 683-4313

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01036897A
IN
207Q00000X
Family Medicine Physician
Primary
26126
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000049664
BCBS PIN #
KY
05
100224950
IN
05
6426126600
KY
Enumeration date
01/18/2006
Last updated
12/10/2025
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