DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHARLES I SHELTON JR. D.O.

MEDICARE: CHARLES I SHELTON JR. D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician02282KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1011071OTHEROHSTATE MEDICAL BOARD OF OHIO
202282OTHERKYLICENSE NUMBER

General Provider Information

NPI Number : 1023111697
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES I SHELTON JR. D.O.
Provider Business Mailing Address
First Line : 1350 BULL LEA RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-1247
Country : US
Telephone Number : 859-246-8000
Fax Number : 859-246-8043
Provider Business Practice Location Address
First Line : 1350 BULL LEA RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-1247
Country : US
Telephone Number : 859-246-8000
Fax Number : 859-246-8043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 09/24/2014

Similar Medicare Providers

1902556301 — DR. JACQUELINE MARIE CLEARY DO
Practice Location Address:
1350 BULL LEA RD
LEXINGTON, KY
40511-1247
Practice Phone: 859-246-8000
Practice Fax:
1265482707 — DR. ANDREW T COOLEY M.D.
Practice Location Address:
1350 BULL LEA RD
LEXINGTON, KY
40511-1247
Practice Phone: 502-333-7378
Practice Fax:
1811007180 — LOVORIA BRECKLEY WILLIAMS NP
Practice Location Address:
1350 BULL LEA RD
LEXINGTON, KY
40511-1247
Practice Phone: 859-246-7802
Practice Fax: 859-323-1057
1790816395 — COMMONWEALTH OF KENTUCKY
Practice Location Address:
1350 BULL LEA RD
LEXINGTON, KY
40511-1247
Practice Phone: 859-246-8000
Practice Fax: 859-246-8043
1750552857 — COMMONWEALTH OF KENTUCKY
Practice Location Address:
1350 BULL LEA RD
LEXINGTON, KY
40511-1247
Practice Phone: 859-246-8000
Practice Fax: 859-246-8043
1962656850 — MS. JACQUELINE GRIGGS BARCLAY APRN
Practice Location Address:
1350 BULL LEA RD
LEXINGTON, KY
40511-1247
Practice Phone: 859-246-8000
Practice Fax: 859-246-8032

Directions to “ CHARLES I SHELTON JR. D.O.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.