Stag Blair Shadduck

  • NPI 1962093674
According to our database, the NPI number for Stag Blair Shadduck is 1962093674 and activated since 3 years ago. Stag Blair Shadduck is an individual provider who specializes in Physician Assistant, and the primary practice location is 560 S Loop Rd, Edgewood, KY 41017. You can also contact Stag Blair Shadduck via telephone number is (859) 301-2663. Provider NPI information was last updated on 08/18/2021.

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Overview of Stag Blair Shadduck

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/27/2021
  • Last updated: 08/18/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: TC072
  • License State: KY

Provider Mailing Address

  • Address: 560 S Loop Rd
    Edgewood, KY 41017
  • Phone: 859-301-2663
  • Fax: 859-817-7848

Provider Practice Location

  • Address: 560 S Loop Rd
    Edgewood, KY 41017
  • Phone: 859-301-2663
  • Fax: 859-817-7848

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Stag Blair Shadduck?
  • A: The npi number for Stag Blair Shadduck is 1962093674.
  • Q: What are Stag Blair Shadduck's specialties?
  • A: Stag Blair Shadduck's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Stag Blair Shadduck?
  • A: The medical license number for Stag Blair Shadduck is TC072 and issued in KY in USA.
  • Q: Where is Stag Blair Shadduck practice location?
  • A: Stag Blair Shadduck is practicing at 560 S Loop Rd, Edgewood, KY 41017.
  • Q: How to contact Stag Blair Shadduck?
  • A: You can contact Stag Blair Shadduck via 859-301-2663.
Medicare Specialty
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