Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Charles B Shane MD PSC

Organization Gynecology Physician · NPI 1215067780

Charles B Shane MD PSC provides Gynecology Physician services 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 Not confirmed with CMS for 17 years — call before visiting
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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