Shire, Kebede W
Shire, Kebede W is an individual health care provider with primary practice located at 1301 Pleasant Valley Rd Ste 202 , Owensboro KY 42303. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Shire, Kebede W can be contacted via phone (270) 417-7500.Contact Information
Primary practice address
1301 Pleasant Valley Rd Ste 202
Owensboro KY 42303
Phone: (270) 417-7500
Fax: (270) 417-7509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 51581 | Kentucky |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 51581 | Kentucky |
Profile Details
| NPI number | 1841502309 |
|---|---|
| LBN Legal business name | Shire, Kebede W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2010 |
| Last updated | May 14th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841502309 | NPPES |
| Kentucky | MEDICAID | 7100547610 |
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