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Contact Information

KENT SHELTON
711 MCNAB PARKWAY AND MAIN
SAN MANUEL, AZ85631
 Phone: 520-385-2337
 Fax: 520-385-2621
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Local Education Agency (LEA)

251300000X
Indicates primary specialty

NPI Profile & details for KENT SHELTON · (Male)

NPI # 1063632347
Status Active
Credentials
Entity Individual
Enumeration date 04/27/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # SLP0018
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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