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Individual

RONALD SHASHY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
150 MOUNT VERNON DR STE 202, GEORGETOWN, KY 40324-1526
(502) 867-7806
(502) 867-7836
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
39850
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39850
LICENSE
KY
05
64114002
KY
01
MD0000042641
TN MEDICAL LICENSE
TN
Enumeration date
05/11/2006
Last updated
07/16/2026
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