Individual
RICHARD A. SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 EASTERN BYP, RICHMOND, KY 40475-2751
(859) 625-3836
(859) 625-3535
Mailing address
801 EASTERN BYP, RICHMOND, KY 40475-2751
(859) 625-3836
(859) 625-3535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23249
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110142319
RR MEDICARE PIN
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB NUMBER
KY
05
—
64232499
—
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
07/21/2006
Last updated
10/16/2013
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