Individual
KIMBERLY SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 US 20A, SWANTON, OH 43558-9801
(419) 490-8320
Mailing address
1919 US 20A, SWANTON, OH 43558-9801
(419) 490-8320
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0050632
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050632
—
OH
Enumeration date
10/03/2016
Last updated
10/03/2016
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