Misty Shellette Watkins

NPI #1164309134 in La Grange, Kentucky

Provider Information

NPI Number: 1164309134
Entity Type: Individual
Name: Misty Shellette Watkins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 20, 2025
Last Updated: Aug 20, 2025

Practice Location

Address: 1201 WOODCREEK DR
City: La Grange
State: Kentucky
ZIP Code: 40031-9000
Phone: (502) 222-7938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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