NPI 1285680553

Mary Ellen Theresa Shields, MD

Practitioner Surgery Physician Berea, KY

Practice location

Address: 305 Estill St, Berea, KY 40403-1742
Phone: (859) 986-8418
Fax: (859) 986-6568
Mailing address: PO Box 936, London, KY 40743-0936

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 30354 (KY)

Other Surgery providers in Kentucky →

Registry record

NPI: 1285680553
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2006
Record last updated: 5 May 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.