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Individual

MS. ALI SHEWCRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
1600 BRECKENRIDGE ST, OWENSBORO, KY 42303-1055
(270) 686-7744
(270) 926-8677
Mailing address
1501 BRECKENRIDGE ST, OWENSBORO, KY 42303-1054
(270) 686-7747
(270) 926-9862

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86031418
KY

Other

Enumeration date
06/20/2014
Last updated
06/20/2014
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