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: MYLAH SHIELDS

MEDICARE: MYLAH SHIELDS
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
1175T00000XPeer SpecialistKY

General Provider Information

NPI Number : 1407578750
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYLAH SHIELDS
Provider Business Mailing Address
First Line : 1365 DEVONPORT DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-1552
Country : US
Telephone Number : 859-309-2240
Fax Number :
Provider Business Practice Location Address
First Line : 1365 DEVONPORT DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-1552
Country : US
Telephone Number : 859-309-2240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2022
Last Update Date : 09/14/2022

Similar Medicare Providers

1609596428 — TIMIA JENELL GARDNER CSW
Practice Location Address:
1365 DEVONPORT DR
LEXINGTON, KY
40504-1552
Practice Phone: 859-229-8027
Practice Fax:
1649909854 — SHAWN JASON MCCARTY PEER SUPPORT
Practice Location Address:
1365 DEVONPORT DR
LEXINGTON, KY
40504-1552
Practice Phone: 859-309-2240
Practice Fax:
1326777046 — MARION AMANDA HITT
Practice Location Address:
1365 DEVONPORT DR
LEXINGTON, KY
40504-1552
Practice Phone: 859-312-2043
Practice Fax:
1184350050 — MS. CHIQUITA SHIELDS TCADC
Practice Location Address:
1365 DEVONPORT DR
LEXINGTON, KY
40504-1552
Practice Phone: 859-309-2240
Practice Fax:
1992424493 — BROOKE LAMETTA JOHNSON
Practice Location Address:
1365 DEVONPORT DR
LEXINGTON, KY
40504-1552
Practice Phone: 859-309-2240
Practice Fax:
1861114191 — LARRY C TALBERT
Practice Location Address:
1365 DEVONPORT DR
LEXINGTON, KY
40504-1552
Practice Phone: 859-309-2240
Practice Fax:

Directions to “ MYLAH SHIELDS ” 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.