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Search › Kentucky › 363LF0000X

Mason Shives

NPI 1699306811 · on the registry since 2020

Practice

Address
405 S L Rogers Wells Blvd
Glasgow, KY 42141
Phone
(270) 794-0260
Fax
(270) 361-5001
Organisation at this address
Icc Medical Llc
Icc Medical Llc
James M Rynerson, Md, Psc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-23

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