Individual
DR. KATHY LYNN SHAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
915 COLLOREDO BLVD, SHELBYVILLE, TN 37160-2780
(931) 684-2197
(931) 684-8562
Mailing address
915 COLLOREDO BLVD, SHELBYVILLE, TN 37160-2780
(931) 684-2197
(931) 684-8562
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
TN1074
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3596029
—
TN
Enumeration date
07/31/2006
Last updated
12/06/2012
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