Shae Wilson

NPI 1972357382 · on the registry since 2024 · sole proprietor

Practice

Address: 1407 N Race St
Glasgow, KY 42141
Phone: (270) 651-6652
Organisation at this address: R David Fant Md Psc
Sage Peak Eye Care Pllc
Southern Medical Laboratories Inc
Eye Care Of Southern Kentucky, Psc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky