Individual
MARTINA ELAINE SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2210 GOLDSMITH LN STE 221B, LOUISVILLE, KY 40218-1082
(502) 509-4590
Mailing address
926 KINSER AVE, SHELBYVILLE, KY 40065-1367
(502) 509-4590
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KY
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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