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Charles B Shane MD Psc — NPI 1215067780, Louisville, KY | NPI Central

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OrganizationActive

Charles B Shane MD Psc

NPI 1215067780 · Gynecology Physician · Louisville, KY

Provider details

NPI number: 1215067780
Entity type: Organization
Primary specialty: Gynecology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Charles Shane, Owner Physician
License: 18903 (KY)

Practice location

4001 Kresge Way

Suite 315

Louisville, KY 40207-4640

Phone: (502) 895-7445

Fax: (502) 895-6638

More KY providers

Mailing address

4001 Kresge Way

Louisville, KY 40207-4640

Registry dates

Enumerated: 2007-03-06
Last updated: 2009-02-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.