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Individual

DR. KIMBERLY RENEE SHELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1591 YANCEYVILLE ST, SUITE 200 A, GREENSBORO, NC 27405-6941
(336) 663-8420
(336) 663-8421
Mailing address
1591 YANCEYVILLE ST, SUITE 200 A, GREENSBORO, NC 27405-6941
(336) 907-3006
(336) 663-8421

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9501417
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8975633
NC
Enumeration date
07/28/2005
Last updated
11/30/2017
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