Individual
SHANE ERIC HENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1532 LONE OAK RD, SUITE 310, PADUCAH, KY 42003-7913
(270) 443-0777
(270) 443-0999
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(513) 981-5130
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO927
AL
207RG0100X
Gastroenterology Physician
Primary
03280
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100129950
—
KY
Enumeration date
05/17/2006
Last updated
04/21/2015
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