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

Haley Renee Shanks, PA

Individual provider Physician Assistant · NPI 1699466532

Haley Renee Shanks, PA is a Physician Assistant in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2023.

Licensed in
KY
In the registry since
2023
Specialties on file
7
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

800 Rose St Fl 2
Lexington, KY 40536-0001
Phone: (859) 562-1085
Fax: (859) 257-5152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3327 (KY)
Physician Assistant Taxonomy 363A00000X · Licence TC011 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TC011 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA3327 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TC011 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA3327 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699466532
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024

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