Individual
DR. SHELBY JO FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3809 WILMINGTON PIKE, STE100, KETTERING, OH 45429-5096
(937) 293-0760
(937) 293-0763
Mailing address
3809 WILMINGTON PIKE, STE100, KETTERING, OH 45429-5096
(937) 293-0760
(937) 293-0763
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325035
ANTHEM BCBS
OH
Enumeration date
11/07/2006
Last updated
07/08/2007
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