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
Phone: (502) 331-9503
Fax: (502) 331-0334
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669442562 | NPPES |
| Kentucky | MEDICAID | 78015898 | |
| Kentucky | Other | P00283050 |
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