Individual
MRS. TARA SHAWN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD,CDE
Contact information
Practice address
716 POPLAR ST, MURRAY, KY 42071-2546
(270) 762-1806
(270) 762-1805
Mailing address
275 STILES RD, PADUCAH, KY 42003-9440
(270) 898-1257
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1292
KY
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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