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NPI Code Detail

MEDICARE: DR. SHELBY T WHITE M.D.

MEDICARE: DR. SHELBY T WHITE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician21632KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000048558OTHERKYANTHEM

General Provider Information

NPI Number : 1306849344
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELBY T WHITE M.D.
Provider Business Mailing Address
First Line : 333 S 3RD ST
Second Line : STE B
City : DANVILLE
State : KY
Zip : 40422-2016
Country : US
Telephone Number : 859-236-8730
Fax Number : 859-236-4468
Provider Business Practice Location Address
First Line : 333 S 3RD ST
Second Line : STE B
City : DANVILLE
State : KY
Zip : 40422-2016
Country : US
Telephone Number : 859-236-8730
Fax Number : 859-236-4468
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 05/17/2010

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