Individual
MONICA MOSS SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KY CERT. 1ST ASSIST
Contact information
Practice address
382 IRISH CIR, HOPKINSVILLE, KY 42240-1779
(270) 886-9284
Mailing address
382 IRISH CIR, HOPKINSVILLE, KY 42240-1779
(270) 886-9284
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
SA031
KY
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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