Individual
SALLIE SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 569-7983
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5652
(888) 241-1404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01059104A
IN
207R00000X
Internal Medicine Physician
Primary
36407
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000592727
ANTHEM BCBS
KY
05
—
200481820
—
IN
05
—
64063894
—
KY
Enumeration date
05/13/2006
Last updated
03/17/2009
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