Individual
SIERRA SHOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S PRESTON ST, LOUISVILLE, KY 40202-1702
(502) 852-5193
Mailing address
200 W LIBERTY ST STE 1812, LOUISVILLE, KY 40202-2473
(314) 218-0543
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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