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

Eugene Herman Shively, MD

Individual provider Surgery Physician · NPI 1396720132

Eugene Herman Shively, MD is a Surgery Physician in Campbellsville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1698 Old Lebanon Rd Ste 2A
Campbellsville, KY 42718-9662
Phone: (270) 465-2821
Fax: (270) 789-1756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 15931 (KY)

Record details

NPI number1396720132
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESSeptember 20, 2007
Mailing address1698 Old Lebanon Rd, Campbellsville, KY 42718-9662

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