Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 51552 | KY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 51552 | KY |
NPI | 1184987844 |
---|---|
Provider Name | Maureen O'shaughnessy |
First Address | Lexington, KY 40536-0284 |
Second Address | Lexington, KY 40536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 17/04/2019 |