Individual
DR. IVORY JANEE' SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
571 S FLOYD ST, LOUISVILLE, KY 40202-3818
(502) 629-7212
Mailing address
PO BOX 776879, CHICAGO, IL 60677-3818
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57946
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
57946
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
11/02/2023
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