Individual
SCOTT DISHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(877) 783-6257
Mailing address
PO BOX 910530, LEXINGTON, KY 40591-0530
(877) 783-6257
(877) 783-6257
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02870
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200805900
—
IN
05
—
64093404
—
KY
Enumeration date
08/20/2006
Last updated
10/23/2025
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