Individual
KENYON SCOTT SHIFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(662) 328-4542
(662) 328-4783
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(662) 328-4542
(662) 328-4783
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0591
MS
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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