Andersen-Thomas, Shannon

Andersen-Thomas, Shannon is an individual health care provider with primary practice located at 3940 Dupont Cir , Louisville KY 40207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Andersen-Thomas, Shannon can be contacted via phone (502) 895-1111.

Contact Information

Primary practice address
3940 Dupont Cir Louisville KY 40207
Phone: (502) 895-1111
Fax: (502) 895-1085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 33898 Kentucky

Profile Details

NPI number 1205820636
LBN Legal business name Andersen-Thomas, Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Aug 2nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205820636 NPPES
Kentucky MEDICAID 64033640

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