Individual
DR. KENNETH D SHELTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1114 DIXIE HWY, ROSSFORD, OH 43460-1337
(419) 666-1114
(419) 666-6433
Mailing address
1114 DIXIE HWY, ROSSFORD, OH 43460
(419) 666-1114
(419) 666-6433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000133231
BLUE CROSS BLUE SHIELD ID
OH
01
—
02136
PARAMOUNT HEALTH CARE ID
—
01
—
1163
LICENSE
OH
01
—
341520061-003
MEDICAL MUTUAL ID
—
01
—
4213864
AETNA ID
—
Enumeration date
01/04/2006
Last updated
07/08/2007
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