Eugene Herman Shively, M.D.

NPI #1396720132 in Campbellsville, Kentucky

Provider Information

NPI Number: 1396720132
Entity Type: Individual
Name: Eugene Herman Shively, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Dec 14, 2005
Last Updated: Sep 20, 2007

Practice Location

Address: 1698 OLD LEBANON RD
Address 2: SUITE 2A
City: Campbellsville
State: Kentucky
ZIP Code: 42718-9662
Phone: (270) 465-2821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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