Individual
CHARLES I SHELTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1350 BULL LEA RD, LEXINGTON, KY 40511-1247
(859) 246-8000
(859) 246-8043
Mailing address
1350 BULL LEA RD, LEXINGTON, KY 40511-1247
(859) 246-8000
(859) 246-8043
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02282
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011071
STATE MEDICAL BOARD OF OHIO
OH
01
—
02282
LICENSE NUMBER
KY
Enumeration date
09/07/2006
Last updated
09/24/2014
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