MR. KENNETH ANTONIO SHOATS JR. (NPI# 1720578446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720578446 |
| Entity Type | Individual |
| Full Name | MR. KENNETH ANTONIO SHOATS JR. |
| Credential | ABOC |
| Practice Address |
1325 Bardstown Rd Louisville KY 40204-1319 |
| Mailing Address |
4102 Wooded Way Louisville KY 40219-1536 |
| Practice Telephone | 5029667864 |
| Mailing Telephone | 5022350253 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
163667 | KY | Eye and Vision Services Providers |
| Street Address |
1325 BARDSTOWN RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| Find all providers in zip 40204 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898127 | Donald Keith Newland | Technician/Technologist | 8107 La Grange Rd, Louisville, KY 40222-3817 | 2019-12-12 |
| 1518270669 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3618 Mall Rd, Louisville, KY 40218-5403 | 2010-07-19 |
| 1821300930 | America's Best Contacts & Eyeglasses | Technician/Technologist | 12905 Shelbyville Rd, Louisville, KY 40243-2411 | 2010-07-06 |
| 1831314806 | Designer Eyewear Inc | Technician/Technologist | 4159 Shelbyville Rd, Louisville, KY 40207-3202 | 2007-04-16 |
| 1790807485 | Elizabeth Beckham | Technician/Technologist | 4720 Lowe Rd, Louisville, KY 40220-1552 | 2007-04-04 |
| 1396877585 | Darlene Rowlett | Technician/Technologist | 6809 Fordham Ln, Louisville, KY 40291-2448 | 2007-03-12 |
| 1174655351 | Joann Hurle | Technician/Technologist | 3904 Springbrooke Cv, Louisville, KY 40241-3000 | 2007-03-12 |
| 1982792271 | Charles D Krebs | Technician/Technologist | 129 Saint Matthews Ave, Louisville, KY 40207-3141 | 2006-10-11 |
| 1538175971 | Us Vision Optical Inc | Technician/Technologist | 4807 Outer Loop, Louisville, KY 40219-3200 | 2006-07-31 |
| 1619586617 | Alicia Chandler | Technician/Technologist | 4036 Dutchmans Ln, Louisville, KY 40207-4704 | 2020-07-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.