Individual
MICHAEL SHOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
300 FOXGLOVE DR, MT STERLING, KY 40353-9769
(859) 498-2135
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
08/30/2023
Last updated
06/19/2024
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