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Individual

SEAN M DENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 326-4520
(270) 875-5538
Mailing address
PO BOX 1558, SHELBYVILLE, KY 40066-1558
(502) 386-4702

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
40983
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40983
LICENSE
KY
01
50012266
PASSPORT HEALTH PLAN
KY
05
7100003360
KY
Enumeration date
07/21/2006
Last updated
12/22/2009
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