# KENNETH SHELTON, DC, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Rossford Chiropractic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437361177
- **Authorized official:** MRS. STACY L FRUSHER (OFFICE MANAGER)
- **Authorized official phone:** (419) 666-1114

## Contact information

- **Practice address:** 1114 DIXIE HWY, ROSSFORD, OH 43460-1337
- **Practice address phone:** (419) 666-1114
- **Practice address fax:** (419) 666-6433
- **Mailing address:** 1114 DIXIE HWY, ROSSFORD, OH 43460-1337
- **Mailing address phone:** (419) 666-1114
- **Mailing address fax:** (419) 666-6433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1163 | OH | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 293447595-00 | BUREAU WORKERS COMP SSN | OH |