Individual
MISS SHANNA MARIE BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 E CHESTNUT ST # 4B5A, LOUISVILLE, KY 40202-1713
(502) 588-2348
(502) 588-2334
Mailing address
571 S FLOYD ST STE 321, LOUISVILLE, KY 40202-3816
(859) 351-8754
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
51446
KY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
51446
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300049061
—
IN
05
—
7100359930
—
KY
01
—
K378150
MEDICARE
KY
Enumeration date
03/27/2014
Last updated
09/12/2024
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