NPI 1063632347
Kent Shelton
Practice location
- Address
- 711 McNab Parkway and Main, San Manuel, AZ 85631
- Phone
- (520) 385-2337
- Fax
- (520) 385-2621
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1063632347
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Apr 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.