Shelby One Care

NPI #1104265115 in Shelbyville, Kentucky

Provider Information

NPI Number: 1104265115
Entity Type: Organization
Organization Name: Shelby One Care
Primary Specialty: Family Medicine
Enumeration Date: Jun 24, 2013
Last Updated: Jun 24, 2013

Practice Location

Address: 30 MAIN ST
City: Shelbyville
State: Kentucky
ZIP Code: 40065-1020
Phone: (502) 229-1744

Authorized Official

Name: ANDREW STIVERS
Title: PRESIDENT
Phone: (502) 229-1744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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