Organization
LEXINGTON PSYCHIATRIC GROUP, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES I SHELTON D.O. (OWNER/PRESIDENT)
(859) 296-0066
Entity
Organization
Contact information
Practice address
1030 MONARCH ST, SUITE 100, LEXINGTON, KY 40513-1843
(859) 296-0066
(859) 296-1155
Mailing address
1030 MONARCH ST, SUITE 100, LEXINGTON, KY 40513-1843
(859) 296-0066
(859) 296-1155
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02282
KY
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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