Individual
KIMBERLY D SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 MARY STREET, EVANSVILLE, IN 47747-0001
(812) 450-7338
(812) 450-2193
Mailing address
1312 W. ARCH HAVEN AVE., SUITE A, BLOOMINGTON, IN 47403
(812) 676-4144
(812) 339-8344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005247A
IN
Other
Enumeration date
10/28/2014
Last updated
07/21/2022
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