Vanessa Jane Shank M.D.

NPI 1053394940 - General Practice - 208D00000X

NPI Details
NPI 1053394940
Gender Female
Enumeration Date 11/23/2005
Last Updated 11/13/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
289 IRELAND AVE
IRELAND ARMY COMMUNITY HOSPITAL
FORT KNOX KY, 40121-5111, US
Phone (502) 624-9864
Fax
Business Location
175 MARY LEE ST
ELIZABETHTOWN KY, 42701-4481, US
Phone (859) 839-9906
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Indiana
License Number 01056852A
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According to our database, Dr. Vanessa Jane Shank M.D. NPI is 1053394940, taxonomy code is 208D00000X and license number is 01056852A, license state is located at Indiana. Vanessa Jane Shank M.D. physically located at 289 Ireland Ave, Fort Knox KY, 40121-5111. NPI Number Vanessa Jane Shank M.D. has the Individual type.

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1053394940 NPI number is provided on an as is basis without warranty of any kind. 1053394940 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Jane Shank M.D. are for informational purposes only.