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Individual

NATHAN R SHELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-0293
(859) 257-1446
Mailing address
UNIVERSITY OF KENTUCKY MEDICAL STAFF AFFAIRS, 115 WALLER AVE, STE 209, LEXINGTON, KY 40536
(859) 562-3267

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
274057
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
53889
KY
207ZP0213X
Pediatric Pathology Physician
53889
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/29/2014
Last updated
08/11/2020
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