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Contact Information

SHANE D MARSILI
900 S LIMESTONE CTW 304
LEXINGTON, KY40536-0001
 Phone: 859-323-9918
 Fax: 859-323-1197
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for SHANE D MARSILI · (Male)

NPI # 1629605050
Status Active
Credentials
Entity Individual
Enumeration date 03/25/2020
Last updated 06/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 59657
Hospital affiliation(s) Not Available
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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