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Individual

DEBORAH H SHACKELFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
1801 EDISON DR, LEXINGTON, KY 40503-1359
(859) 276-7959
(859) 276-7911
Mailing address
2907 BRIGADOON PKWY, LEXINGTON, KY 40517-1308
(859) 276-7959
(859) 276-7911

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4676P
KY

Other

Enumeration date
08/05/2006
Last updated
01/25/2008
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