Individual
SHANNON O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
601 S FLOYD ST STE 300, LOUISVILLE, KY 40202-1837
(502) 629-1515
(502) 629-1545
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5754
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
TP304
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100572780
—
KY
Enumeration date
05/19/2015
Last updated
09/04/2024
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