Organization
K DONALD SHELBOURNE MD LLC
Active
Other names
SHELBOURNE KNEE CENTER AT METHODIST HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
K DONALD SHELBOURNE MD (PRESIDENT)
(317) 924-8636
Entity
Organization
Contact information
Practice address
1815 N CAPITOL AVE, STE 600, INDIANAPOLIS, IN 46202-1288
(317) 924-8636
(317) 921-0230
Mailing address
1815 N CAPITOL AVE, STE 530, INDIANAPOLIS, IN 46202-1288
(317) 924-8636
(317) 921-0230
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
01027165A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB9030
RAILROAD MEDICARE
GA
Enumeration date
06/30/2005
Last updated
04/18/2012
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