Devon Michelle Shaut Valid NPI

Individual provider · Sports Medicine (Preventive Medicine) Physician · Owensboro, KY

NPI

1427663251

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Preventive Medicine) Physician (Preventive Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2083S0010X

License number

2000039774 (KY)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-09-09

Last updated

2020-09-09