Shelton, Kantrell Deshawn

Shelton, Kantrell Deshawn is an sole proprietor health care provider with primary practice located at 112 E Elwood Ave , Raeford NC 28376-2921. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Shelton, Kantrell Deshawn can be contacted via phone (910) 848-1924.

Contact Information

Primary practice address
112 E Elwood Ave Raeford NC 28376-2921
Phone: (910) 848-1924
Fax: (910) 848-1928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3029A North Carolina

Profile Details

NPI number 1770828998
LBN Legal business name Shelton, Kantrell Deshawn
Credentials LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2012
Last updated Jul 14th, 2015 - 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.

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