Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles B Shane MD PSC

Organization Gynecology Physician · NPI 1215067780

Charles B Shane MD PSC is a Gynecology Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4001 Kresge Way Ste 315
Louisville, KY 40207-4640
Phone: (502) 895-7445
Fax: (502) 895-6638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 18903 (KY)

Record details

NPI number1215067780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Shane — Owner Physician · (502) 895-7445
NPI enumeratedMarch 6, 2007
Last updated in NPPESFebruary 24, 2009
Mailing address4001 Kresge Way, Suite 315, Louisville, KY 40207-4640

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