Provider Demographics
NPI:1649709478
Name:SLUSHER, JOSHUA KELLY (DO)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:KELLY
Last Name:SLUSHER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 LITTON LN
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-8611
Mailing Address - Country:US
Mailing Address - Phone:859-334-8700
Mailing Address - Fax:859-334-8707
Practice Address - Street 1:2000 LITTON LN
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:KY
Practice Address - Zip Code:41048-8611
Practice Address - Country:US
Practice Address - Phone:859-334-8700
Practice Address - Fax:859-334-8707
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.015128207Q00000X
MO2022044426207Q00000X
KY05611207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH346166Medicaid