Individual
DR. MANDY SUE SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3615 E JOHN ROWAN BLVD STE 104, BARDSTOWN, KY 40004-3264
(502) 348-5968
(270) 706-5802
Mailing address
366 RADERS VALLEY RD, WILLIAMSBURG, WV 24991-7008
(502) 348-5968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06008
KY
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/12/2022
Last updated
06/02/2025
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