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Individual

MS. SUSAN ELIZABETH SHUMATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2020 BASHFORD MANOR LN, LOUISVILLE, KY 40218-2114
(502) 813-2905
(502) 813-2907
Mailing address
4071 TATES CREEK CENTRE DR, SUITE 202, LEXINGTON, KY 40517-3062
(502) 813-2905
(502) 813-2907

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007402
KY

Other

Enumeration date
05/08/2012
Last updated
12/02/2020
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