Individual
DENNIS GERALD SHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 WOODLAND DRIVE, ELIZABETHTOWN, KY 42701
(270) 765-6141
(270) 765-6141
Mailing address
1310 WOODLAND DRIVE, ELIZABETHTOWN, KY 42701
(270) 765-6141
(270) 765-6141
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
20718
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062512
ANTHEM
—
01
—
2435204000
PASSPORT ADVANTAGE
—
Enumeration date
09/25/2006
Last updated
08/06/2010
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