Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWN SHADELL FUGATE, M.D.
Active Sole ProprietorFamily Medicine · PINEVILLE, KY
Registration Details
- NPI Number
- 1609813807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2006 (19.922223998656 yrs)
- Last Updated
- Jan 16, 2019
- License
-
26778 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
313 S CHERRY STPINEVILLE, KY, 409771724Browse KY providers · Browse ZIP 40977
- Phone
- 6066543338
- Fax
- 6066542273
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PINEVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| DR. CHADWICK E GAMBRELL | DO | 1578903118 |
| NICHOLAS J DAWSON FUGATE | DO | 1477058071 |
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.