Individual
RONNIE M SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
441 21ST ST, ASHLAND, KY 41101
(606) 329-1516
(606) 324-9512
Mailing address
PO BOX 2316, ASHLAND, KY 41105-2316
(606) 329-1516
(606) 324-9512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4239
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60042397
—
KY
Enumeration date
02/23/2007
Last updated
07/08/2007
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