Individual
SHELLY ELAINE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
.008842
Contact information
Practice address
8032 EAGLE RIDGE DR, WEST CHESTER, OH 45069-1973
(317) 937-4551
Mailing address
8032 EAGLE RIDGE DR, WEST CHESTER, OH 45069-1973
(317) 937-4551
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
.008842
OH
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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