Whalio Doctors

NPI 1033179817

Shannon K Bentley, MD

Practitioner Family Medicine Physician Edgewood, KY

Practice location

Address
413 South Loop Road St Elizabeth Family Practice Center, Edgewood, KY 41017-5446
Phone
(859) 301-3800
Fax
(859) 301-3987
Mailing address
413 S Loop Rd St Elizabeth Family Practice Center, Edgewood, KY 41017-5446

Registered specialties (4)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 49699 (KY)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 35.075269 (OH)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 22184 (WV)
Obstetrics Physician
Allopathic & Osteopathic Physicians Taxonomy 207VX0000X Licence 49699 (KY)

Registry record

NPI
1033179817
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Mar 2006
Record last updated
10 Aug 2022

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.