Stanko, Shelley Bundy

Stanko, Shelley Bundy is an individual health care provider with primary practice located at 175 City Hill Dr , London KY 40741-3037. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stanko, Shelley Bundy can be contacted via phone (606) 877-2050.

Contact Information

Primary practice address
175 City Hill Dr London KY 40741-3037
Fax: (606) 877-2080
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38962 Kentucky

Profile Details

NPI number 1043232101
LBN Legal business name Stanko, Shelley Bundy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated May 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043232101 NPPES
Kentucky Other 4000501 MEDICARE LAB GROUP
Kentucky Other CB8799 MEDICARE LAB GROUP
Kentucky Other 37903705 MEDICARE LAB GROUP
Kentucky Other P00145375 MEDICARE LAB GROUP
Kentucky MEDICAID 64091309 MEDICARE LAB GROUP

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