First Urology, Psc

NPI #1760749956 in La Grange, Kentucky

Provider Information

NPI Number: 1760749956
Entity Type: Organization
Organization Name: First Urology, Psc
Subpart: Yes (part of a larger organization)
Parent Organization: FIRST UROLOGY, PSC
Primary Specialty: Urology
Enumeration Date: Apr 12, 2012
Last Updated: Oct 22, 2025

Practice Location

Address: 1023 NEW MOODY LN STE 202A
City: La Grange
State: Kentucky
ZIP Code: 40031-9177
Phone: (502) 897-7172

Authorized Official

Name: MICHAEL J SHANNON
Title: CEO
Phone: (812) 282-3899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Urology	208800000X	Primary

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