Shelton, Kimberly Renee

Shelton, Kimberly Renee is an sole proprietor health care provider with primary practice located at 1591 Yanceyville St Suite 200 A, Greensboro NC 27405-6941. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shelton, Kimberly Renee can be contacted via phone (336) 663-8420.

Contact Information

Primary practice address
1591 Yanceyville St Suite 200 A Greensboro NC 27405-6941
Phone: (336) 663-8420
Fax: (336) 663-8421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9501417 North Carolina

Profile Details

NPI number 1649270984
LBN Legal business name Shelton, Kimberly Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Nov 30th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649270984 NPPES
North Carolina MEDICAID 8975633

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