Individual
PENNY LYNN DEMASTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 TAYLORSVILLE RD, SHELBYVILLE, KY 40065-8104
(502) 633-5685
(502) 633-9535
Mailing address
500 TAYLORSVILLE RD, SHELBYVILLE, KY 40065-8104
(502) 633-5685
(502) 633-9535
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
KY
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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