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Individual

KRISTIE R SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
411 E CHESTNUT ST # 4B5A, LOUISVILLE, KY 40202-1713
(502) 588-2348
(502) 588-2334
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 272-5754
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3005151
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200887030
IN
05
7100023930
KY
Enumeration date
06/19/2007
Last updated
04/11/2024
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