Individual
SHELBY RENE MESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8100
Mailing address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003112A
IN
363A00000X
Physician Assistant
1145257
KY
363A00000X
Physician Assistant
Primary
PA2296
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340990
—
OH
05
—
300006364
—
IN
05
—
7100516120
—
KY
Enumeration date
08/03/2017
Last updated
04/03/2025
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