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Individual
DR. KENNETH D SHELTON
Active
Individual
DR. KENNETH D SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000133231
BLUE CROSS BLUE SHIELD ID
OH
01
—
02136
PARAMOUNT HEALTH CARE ID
—
01
—
1163
LICENSE
OH
01
—
341520061-003
MEDICAL MUTUAL ID
—
01
—
4213864
AETNA ID
—
Enumeration date
01/04/2006
Last updated
07/13/2026
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