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Organization

SHELBY PEDIATRICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAREN S SMITH M.D. (DOCTOR)
(937) 726-3980
Entity
Organization

Contact information

Practice address
1431 N MAIN AVE, SIDNEY, OH 45365-1735
(937) 419-8687
(937) 419-8688
Mailing address
1431 N MAIN AVE, SIDNEY, OH 45365-1735
(937) 419-8687
(937) 419-8688

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35075528
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2482586
OH
Enumeration date
05/13/2016
Last updated
03/16/2021
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