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Individual

SHELLEY IRVING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
316 W 2ND ST, MOREHEAD, KY 40351-1550
(606) 784-3771
(606) 783-6847
Mailing address
316 W 2ND ST, MOREHEAD, KY 40351-1550
(606) 784-3771
(606) 783-6847

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100107470
KY
Enumeration date
01/30/2009
Last updated
01/02/2014
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