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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

NPI Number 1063632347
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/27/2007
Last updated 07/08/2007 - About 19 years ago
Identifiers
AZ License # SLP0018
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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