DEVON MICHELLE SHAUT
Individual Provider (NPI-1)
Active
Preventive Medicine, Sports Medicine
Provider Information
- NPI Number
1427663251- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3000 FREDERICA ST, OWENSBORO, KY, 423014230
- Phone
- (651) 270-3801
Specialties & Taxonomies
Preventive Medicine, Sports Medicine
Primary License: KY #2000039774