Doctor Name: | DR. JOSEPH NEALON SHAUGHNESSY |
NPI Number: | 1134361371 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 46969 |
Business Practice Address: | 4359 New Shepherdsville Road, #100 Flaget Memorial Cancer Center Bardstown, KY - 40004 |
Business Phone Number: | 5023505700 |
Business Fax Number: | 5023505701 |
Mailing Address: | Po Box 909, LOUISVILLE |
State: | KY |
Postal Code: | 402010909 |
Phone Number: | 5025880320 |
Fax Number: | 5025880326 |
NPI Enumeration Date: | 04/02/2009 |
NPI Last Update Date: | 07/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0203X |
License Number: | 46969 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Therapeutic Radiology |
Taxonomy Definition: |