Irving, Shelley

Irving, Shelley is an individual health care provider with primary practice located at 316 W 2Nd St , Morehead KY 40351-1550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Irving, Shelley can be contacted via phone (606) 784-3771.

Contact Information

Primary practice address
316 W 2Nd St Morehead KY 40351-1550
Phone: (606) 784-3771
Fax: (606) 783-6847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Kentucky

Profile Details

NPI number 1487892386
LBN Legal business name Irving, Shelley
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2009
Last updated Jan 2nd, 2014 - about 11 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 1487892386 NPPES
Kentucky MEDICAID 7100107470

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