Individual
DR. SHAWN T MILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 N EAGLE CREEK DR STE 303, LEXINGTON, KY 40509-2124
(859) 264-9820
(859) 543-0994
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(859) 543-0994
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
53919
KY
207L00000X
Anesthesiology Physician
R4140
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
53919
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001489941
ANTHEM KY & IN
KY
01
—
00297988
SIHO
—
01
—
12299111
PRIME HEALTH SERVICES
—
01
—
1327389-0001
OHIO WORKERS COMP
—
05
—
300047944
—
IN
01
—
3787095
CIGNA
—
01
—
68597919
AETNA
KY
05
—
7100513260
—
KY
01
—
7617067
UNITED HEALTHCARE
—
Enumeration date
03/29/2016
Last updated
05/28/2026
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