Individual
ERIC SHUPING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121
(502) 624-0508
Mailing address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD0000024027
TN
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
0101263988
VA
2083P0901X
Public Health & General Preventive Medicine Physician
MD0000024027
TN
Other
Enumeration date
11/25/2005
Last updated
06/06/2018
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