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Individual

DR. BRENDA A EL-SHIEKH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M. D.

Contact information

Practice address
1320 WOODLAND DR, SUITE A, ELIZABETHTOWN, KY 42701-3652
(270) 769-1100
(270) 737-8688
Mailing address
PO BOX 6126, ELIZABETHTOWN, KY 42702-6126
(270) 769-1100
(270) 769-8688

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36492
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000213980
ANTHEM
KY
01
1447259551
WINDSOR STERLING
KY
Enumeration date
07/20/2005
Last updated
08/21/2013
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