Charles I Shelton JR. D.O.

NPI 1023111697 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1023111697
Gender Male
Enumeration Date 09/07/2006
Last Updated 09/24/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1350 BULL LEA RD
LEXINGTON KY, 40511-1247, US
Phone (859) 246-8000
Fax (859) 246-8043
Business Location
1350 BULL LEA RD
LEXINGTON KY, 40511-1247, US
Phone (859) 246-8000
Fax (859) 246-8043
Toxanomy
Taxonomy Code 2084P0800X
License State Kentucky
License Number 02282
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According to our database, Charles I Shelton JR. D.O. NPI is 1023111697, taxonomy code is 2084P0800X and license number is 02282, license state is located at Kentucky. Charles I Shelton JR. D.O. physically located at 1350 Bull Lea Rd, Lexington KY, 40511-1247. NPI Number Charles I Shelton JR. D.O. has the Individual type.

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1023111697 NPI number is provided on an as is basis without warranty of any kind. 1023111697 is maintained by the National Plan & Provider Enumeration System. The contents of Charles I Shelton JR. D.O. are for informational purposes only.