Individual
K DONALD SHELBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7418 WASHINGTON BLVD, INDIANAPOLIS, IN 46240-3090
(317) 257-7023
Mailing address
7418 WASHINGTON BLVD, INDIANAPOLIS, IN 46240-3090
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01027165A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01027165A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100311620
—
IN
Enumeration date
08/30/2006
Last updated
11/05/2025
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