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GARY A. SHEARER MD LLC

Suppliers Durable Medical Equipment & Medical Supplies

Provider NPI: 1659321313

Organization Information:
Organization Name:  GARY A. SHEARER MD LLC
Organization is not Subpart
Authorized Official:  GARY A SHEARER  PRESIDENT  859-746-2880

Practice Location:
7210 TURFWAY RD  FLORENCE, KY 41042-5117 US
Tel: 859-746-2880  Fax: 859-746-2881

Business Mailing Address:
7210 TURFWAY RD  FLORENCE, KY 41042-5117 US
Tel: 859-746-2880  Fax: 859-746-2880

NPI Information:
NPI: 1659321313
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
KY0629801
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
KY
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
KY
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
KY
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
KY
N2084P0015XPhysicians
Psychiatry & Neurology
KY0629801
Y207Q00000XPhysicians
Family Medicine
KY
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies

Other Provider Identifiers:

IssuerNumberStateType
7100011290KY05
RAILROAD MEDICAREDE9299KY01



American Medical Association 2012 taxonomy code information

Code: 207Q00000X

Type:

Classification:



Definition:



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