Organization
SHEARER DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT SHEARER (OWNER)
(606) 387-6616
Entity
Organization
Contact information
Practice address
100 TWIN LAKES MEDICAL CTR, ALBANY, KY 42602-1076
(606) 387-6616
Mailing address
100 TWIN LAKES MEDICAL CTR, ALBANY, KY 42602-1076
(606) 387-6616
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P01501
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90040270
—
KY
Enumeration date
01/09/2007
Last updated
08/22/2020
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