Shelton, David E

Shelton, David E is an individual health care provider with primary practice located at 118 Patriot Drive Suite 103, Bardstown KY 40004-9094. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Shelton, David E can be contacted via phone (502) 331-9503.

Contact Information

Primary practice address
118 Patriot Drive Suite 103 Bardstown KY 40004-9094
Fax: (502) 331-0334
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004746 Kentucky

Profile Details

NPI number 1669442562
LBN Legal business name Shelton, David E
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Mar 20th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669442562 NPPES
Kentucky MEDICAID 78015898
Kentucky Other P00283050

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