MEDICARE: SHIRLEY K CATRON M D PSC

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
1	208000000X	Pediatrics Physician	38599	KY
2	207R00000X	Internal Medicine Physician	38599	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1184825101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHIRLEY K CATRON M D PSC

Provider Business Mailing Address
First Line	:	701 BURKESVILLE RD
Second Line	:
City	:	ALBANY
State	:	KY
Zip	:	42602-1654
Country	:	US
Telephone Number	:	606-387-0675
Fax Number	:	606-387-3149

Provider Business Practice Location Address
First Line	:	701 BURKESVILLE RD
Second Line	:
City	:	ALBANY
State	:	KY
Zip	:	42602-1654
Country	:	US
Telephone Number	:	606-387-0675
Fax Number	:	606-387-3149

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHIRLEY K. CATRON
Credential	:	M.D.
Telephone Number	:	606-387-0675

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	07/19/2010

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