Rebecca Agnes Wilshere
Family Doctor
7309 Us Highway 42
Florence
, Kentucky 41042-5561
Rebecca Agnes Wilshere
Family Doctor
7309 Us Highway 42
Florence
, Kentucky 41042-5561
(859) 282-7087
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Rebecca Agnes Wilshere
- 7309 Us Highway 42
- Florence, KY
- Zip : 41042-5561
- Fax : (859) 282-7087
- Phone : (859) 282-1241
Second Address
- Rebecca Agnes Wilshere
- 7309 Us Highway 42
- Florence, KY
- Zip : 41042-5561
- Fax : (859) 282-7087
- Phone : (859) 282-1241
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 35903 | KY |
National Provider Identifier
| NPI | 1003835455 |
|---|---|
| Provider Name | Rebecca Agnes Wilshere |
| First Address | Florence, KY 41042-5561 |
| Second Address | Florence, KY 41042-5561 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 24/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64127897 | (05) | KY |
| I22183 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.