Shelton, Kimberly Renee
Shelton, Kimberly Renee is an sole proprietor health care provider with primary practice located at 1591 Yanceyville St Suite 200 A, Greensboro NC 27405-6941. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shelton, Kimberly Renee can be contacted via phone (336) 663-8420.Contact Information
Primary practice address
1591 Yanceyville St Suite 200 A
Greensboro NC 27405-6941
Phone: (336) 663-8420
Fax: (336) 663-8421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9501417 | North Carolina |
Profile Details
| NPI number | 1649270984 |
|---|---|
| LBN Legal business name | Shelton, Kimberly Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Nov 30th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649270984 | NPPES |
| North Carolina | MEDICAID | 8975633 |
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