Individual
SHANNON ANDERSEN-THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3940 DUPONT CIR, LOUISVILLE, KY 40207
(502) 895-1111
(502) 895-1085
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33898
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64033640
—
KY
Enumeration date
08/31/2005
Last updated
08/02/2018
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