DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANNON K BENTLEY, M.D.

Active

DR. SHANNON K BENTLEY, M.D. is a Family Medicine healthcare provider located in EDGEWOOD, Kentucky. NPI 1033179817 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · EDGEWOOD, KY

Registration Details

NPI Number
1033179817
Provider Type
Individual
Gender
Female
NPI Issued
Mar 24, 2006 (20.372761303586 yrs)
Last Updated
Aug 10, 2022
Licenses
35.075269 (OH)
22184 (WV)
49699 (KY)
49699 (KY)

Practice Information

Address
413 SOUTH LOOP ROAD
ST ELIZABETH FAMILY PRACTICE CENTER
EDGEWOOD, KY, 410175446
Browse KY providers · Browse ZIP 41017
Phone
8593013800
Fax
8593013987
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Obstetrics
Additional Specialty
Family Medicine

Other Family Medicine Providers in EDGEWOOD, KY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.