Individual
RACHEL SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 HOSPITAL WAY, SUITE 270, SOMERSET, KY 42503-2872
(606) 425-4298
(606) 425-4299
Mailing address
284 WAITSBORO DRIVE, SOMERSET, KY 42503
(606) 425-6002
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
57007406
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00675002
MEDICARE PTAN
KY
Enumeration date
03/14/2007
Last updated
06/28/2013
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