Individual
WILLIAM RONALD SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 HOSPITAL ST, MONTICELLO, KY 42633-2416
(606) 348-9343
Mailing address
166 HOSPITAL ST, MONTICELLO, KY 42633-2416
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44716
KY
Other
Enumeration date
10/31/2007
Last updated
10/05/2022
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