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Individual

WILLIAM WYATT SHELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
425 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 783-1511
(606) 783-1847
Mailing address
391 SUNSET LN, MOREHEAD, KY 40351-8867
(606) 784-8861
(606) 783-1847

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7950
KY

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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