Individual
DR. LEROY SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 W MCDONALD PKWY, STE 1B, MAYSVILLE, KY 41056-1138
(606) 564-3351
(606) 564-5631
Mailing address
1 W MCDONALD PKWY, STE 1B M, MAYSVILLE, KY 41056-1138
(606) 564-3351
(606) 564-5631
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18295
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64182959
—
KY
Enumeration date
09/22/2006
Last updated
07/08/2007
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