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Individual

SHELBY ELIZABETH LIKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
901 W COMMERCIAL ST, KENNETT, MO 63857-1100
(573) 717-1072
Mailing address
503 N 12TH AVE, OZARK, MO 65721-9307

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2016021485
MO
363L00000X
Nurse Practitioner
Primary
2021015301
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420137853
MO
Enumeration date
04/29/2021
Last updated
08/29/2025
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