Kenneth Shelton II

NPI #1881095024 in Leesville, South Carolina

Provider Information

NPI Number: 1881095024
Entity Type: Individual
Name: Kenneth Shelton II
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 8, 2014
Last Updated: Sep 8, 2014

Practice Location

Address: 122 SIKKEMA LN
City: Leesville
State: South Carolina
ZIP Code: 29070-7227
Phone: (803) 767-8634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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