Provider Demographics
NPI:1124605290
Name:SHUFELT, KATHRYN TERRI KNUTSON (DO)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:TERRI KNUTSON
Last Name:SHUFELT
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 23229
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42304-3229
Mailing Address - Country:US
Mailing Address - Phone:270-688-1330
Mailing Address - Fax:270-688-1338
Practice Address - Street 1:910 WALLACE AVE
Practice Address - Street 2:
Practice Address - City:LEITCHFIELD
Practice Address - State:KY
Practice Address - Zip Code:42754-2414
Practice Address - Country:US
Practice Address - Phone:270-259-9555
Practice Address - Fax:270-259-1669
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2024-09-04
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Provider Licenses
StateLicense IDTaxonomies
KY05581207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine