Individual
DR. DAVID SHADOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0472
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0472
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
26586
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110027337
RAILROAD MEDICARE
KY
01
—
50006906
PASSPORT
KY
05
—
64265861
—
KY
Enumeration date
06/21/2005
Last updated
03/15/2016
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