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Individual

DR. THOMAS SHAUGHNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
830 THOMAS MORE PKWY STE 202, EDGEWOOD, KY 41017-5103
(859) 341-6281
(859) 341-4661
Mailing address
4600 MONTGOMERY RD, STE 105, CINCINNATI, OH 45212-2697
(513) 487-5305
(513) 487-5317

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01034872
IN
207RN0300X
Nephrology Physician
21833
KY
207RN0300X
Nephrology Physician
Primary
35-053140
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0642611
OH
Enumeration date
06/16/2006
Last updated
07/18/2012
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