Individual
DR. SHAWN T MILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PROSPEROUS PL STE 300, LEXINGTON, KY 40509-1836
(859) 275-5229
(859) 977-2683
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
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
06/09/2022
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