Individual
EDWARD L SAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 HOSPITAL DR, SUITE 1, SHELBYVILLE, KY 40065-1640
(502) 633-3525
(502) 633-8075
Mailing address
100 E LIBERTY ST, STE 800, LOUISVILLE, KY 40202-1428
(502) 633-3525
(502) 633-8075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28754
KY
208000000X
Pediatrics Physician
28754
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400341
UHC
—
01
—
48274
ANTHEM
KY
05
—
64287543
—
KY
Enumeration date
10/17/2005
Last updated
07/21/2022
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