Individual
KATHERINE ALYSSA SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
(817) 856-0655
Mailing address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-4396
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2024033343
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2018
Last updated
10/09/2024
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