NPI 1023543535

Jaime Shoup, MD

Practitioner Neurology with Special Qualifications in Child Neurology Physician Louisville, KY

Practice location

Address: 2933 Breckenridge Ln STE 101, Louisville, KY 40220-1494
Phone: (502) 588-0736
Fax: (502) 588-0721
Mailing address: PO Box 776879, Chicago, IL 60677-6879

Registered specialties (4)

Neurology with Special Qualifications in Child Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence 57923 (KY)

Other Psychiatry & Neurology providers in Kentucky →

Epilepsy Physician

Allopathic & Osteopathic Physicians Taxonomy 2084E0001X Licence 57923 (KY)

Neurology with Special Qualifications in Child Neurology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence 01093584A (IN)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Kentucky →

Registry record

NPI: 1023543535
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2017
Record last updated: 25 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.