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Individual

DR. SHANNON JOY VOOGT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2195 HARRODSBURG RD, STE 125, LEXINGTON, KY 40504-3504
(859) 323-6371
Mailing address
2195 HARRODSBURG RD, STE 125, LEXINGTON, KY 40504-3504
(859) 323-6371

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46329
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100243160
KY
Enumeration date
05/10/2010
Last updated
11/04/2015
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