# ARDMORE FAMILY HEALTH CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407863053
- **Authorized official:** KEVIN J SHELTON MD (DIRECTOR)
- **Authorized official phone:** (580) 223-1313

## Contact information

- **Practice address:** 812 12TH AVE NW, ARDMORE, OK 73401-5708
- **Practice address phone:** (580) 223-1313
- **Practice address fax:** (580) 223-1629
- **Mailing address:** 812 12TH AVE NW, ARDMORE, OK 73401-5708
- **Mailing address phone:** (580) 223-1313
- **Mailing address fax:** (580) 223-1629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21765 | OK | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 08/22/2020