Individual
SHAWN DONNELL NUTTER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 W BROADWAY STE 4, LOUISVILLE, KY 40202-2236
(502) 965-6539
Mailing address
801 W BROADWAY STE 4, LOUISVILLE, KY 40202-2236
(502) 965-6539
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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