East End OBGYN

Organization Active NPI Obstetrics & Gynecology Physician · Shelbyville, KY

NPI 1154494854 · NPPES record last updated Jul 13, 2010

Key facts

NPI
1154494854
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
EAST END OBGYN
Practice address
720 Hospital Dr
Shelbyville, KY 40065-1685
Phone
(502) 633-0094
Fax
(502) 633-0033
NPI assigned
Nov 17, 2006
Organization subpart
No

Authorized official

Name
Mrs. Valery McIntosh
Title
Practice Manager
Phone
(502) 633-0094

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

141 S English Station Rd
Ste 200
Louisville, KY 40245
Phone (502) 244-3456

720 Hospital Dr
Ste 112
Shelbyville, KY 40065
Phone (502) 633-0094

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207V00000X Yes
Nurse Practitioner
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

720 Hospital Dr
Shelbyville, KY 40065-1685

Mailing address

720 Hospital Dr
Shelbyville, KY 40065-1685
Phone (502) 633-0094

Other providers in Shelbyville, KY

All providers in Shelbyville, KY · Obstetrics & Gynecology Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.