Individual
PATRICK THOMAS SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7014
(502) 933-8323
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19853
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64198534
—
KY
Enumeration date
11/18/2005
Last updated
09/17/2013
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