Individual
SHELBY RISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 LANDSDOWNE DR, ASHLAND, KY 41102-5422
(606) 329-8588
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(063) 298-5886
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1173733
KY
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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