Shelby, Kendra L
Shelby, Kendra L is an sole proprietor health care provider with primary practice located at 1425 Sherborn Ct S , Minooka IL 60447-4569. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Shelby, Kendra L can be contacted via phone (815) 557-6792.Contact Information
Primary practice address
1425 Sherborn Ct S
Minooka IL 60447-4569
Phone: (815) 557-6792
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lactation Consultant, Non-RN | 174N00000X | L-82571 | Illinois |
Profile Details
| NPI number | 1831846435 |
|---|---|
| LBN Legal business name | Shelby, Kendra L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2022 |
| Last updated | Mar 4th, 2022 - about 2 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 | 1831846435 | NPPES |
| Illinois | Other | S510-5128-2895 | DRIVER ID |
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