Individual
DR. SHANNA LOUISE MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2211 MAYFAIR DR, OWENSBORO, KY 42301-4568
(270) 688-4480
(270) 688-4489
Mailing address
2211 MAYFAIR DR, OWENSBORO, KY 42301-4568
(270) 688-4480
(270) 688-4489
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42734
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100087760
—
KY
Enumeration date
02/12/2007
Last updated
11/27/2023
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