Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENT SHELTON
Active Sole ProprietorKENT SHELTON is a Local Education Agency healthcare provider located in SAN MANUEL, Arizona. NPI 1063632347 is currently active in the NPPES registry. Verify at CMS.
Local Education Agency · SAN MANUEL, AZ
Registration Details
- NPI Number
- 1063632347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2007 (19.289450628894 yrs)
- Last Updated
- Jul 8, 2007
- License
-
SLP0018 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
711 MCNAB PARKWAY AND MAINSAN MANUEL, AZ, 85631Browse AZ providers · Browse ZIP 85631
- Phone
- 5203852337
- Fax
- 5203852621
- Primary Specialty
-
Local Education Agency
251300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.