Individual
DR. JONATHAN L SHREWSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1303 NORTH MAIN ST., BEAVER DAM, KY 42320
(270) 274-3294
(270) 274-4811
Mailing address
1303 NORTH MAIN STREET, BEAVER DAM, KY 42320
(270) 274-3294
(270) 274-4811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0956DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77009561
—
KY
Enumeration date
08/12/2006
Last updated
06/18/2014
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