Individual
DAVID E SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
118 PATRIOT DRIVE, SUITE 103, BARDSTOWN, KY 40004-9094
(502) 331-9503
(502) 331-0334
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 585-4321
(502) 566-6338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004746
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78015898
—
KY
01
—
P00283050
RAILROAD MEDICARE
KY
Enumeration date
01/24/2006
Last updated
03/20/2018
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