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Search › Kentucky › 2084N0402X

Jaime Shoup, MD

NPI 1023543535 · on the registry since 2017 · sole proprietor

Practice

Address
2933 Breckenridge Ln Ste 101
Louisville, KY 40220
Phone
(502) 588-0736
Fax
(502) 588-0721
Clinicians at this address
16

Additional practice sites

  • 411 E Chestnut St, Louisville, KY

Registry record

Primary taxonomy
2084N0402X
2084N0402X
Also registered as
2084E0001X
2084N0402X
390200000X
Licence states on file
KY, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky