Individual
SHAUN MATTHEW BELLERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 NEVADA AVE, LONDON, KY 40741-2920
(606) 224-7488
Mailing address
565 HIGHWAY 192 W STE 106, LONDON, KY 40741-2637
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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