Individual
KYLA RAE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 520-2, LITTLE ROCK, AR 72205-7101
(501) 686-6176
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E-10901
AR
2086S0129X
Vascular Surgery Physician
Primary
E-10901
AR
Other
Enumeration date
04/19/2010
Last updated
08/13/2019
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