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Contact Information

SHANE T DESIMONE, MD
202-206 MILBY STREET
GREENSBURG, KY42743
 Phone: 270-932-4211
 Fax: 270-299-2041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SHANE T DESIMONE · (Male)

NPI # 1285736462
Status Active
Credentials MD
Entity Individual
Enumeration date 09/01/2006
Last updated 12/20/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 43280
  • MO License # T2005018779
  • KY Medicaid 7100126300
Hospital affiliation(s)
  • CASEY COUNTY HOSPITAL - (Critical Access)
    187 WOLFORD AVENUE
    LIBERTY, KY 42539
  • JANE TODD CRAWFORD HOSPITAL - (Critical Access)
    202-206 MILBY STREET
    GREENSBURG, KY 42743
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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