Shank, Walter A

Shank, Walter A is an individual health care provider with primary practice located at 2101 Nicholasville Rd Ste 106, Lexington KY 40503-2518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shank, Walter A can be contacted via phone (859) 278-5926.

Contact Information

Primary practice address
2101 Nicholasville Rd Ste 106 Lexington KY 40503-2518
Fax: (859) 276-3189
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28899 Kentucky

Profile Details

NPI number 1518966019
LBN Legal business name Shank, Walter A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 8th, 2007 - about 17 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 1518966019 NPPES
Kentucky MEDICAID 64288996

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