Individual
MRS. LUCY KARA SHAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
174 PINNELL ST STE D, RIPLEY, WV 25271-9105
(304) 372-1740
(304) 372-3069
Mailing address
174 PINNELL ST STE D, RIPLEY, WV 25271-9105
(304) 372-1740
(304) 372-3069
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
2473
WV
207Q00000X
Family Medicine Physician
Primary
2473
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003577627
UHC MPIN
WV
05
—
3810024964
—
WV
01
—
WV2080H
MEDICARE PTAN
WV
01
—
WV2180D
MEDICARE PTAN
WV
01
—
WV2180E
MEDICARE PTAN
WV
01
—
WV2180F
MEDICARE PTAN
WV
01
—
WV2180G
MEDICAARE PTAN
WV
Enumeration date
03/01/2009
Last updated
02/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us