Healthcare Provider Details

I. General information

NPI: 1457913519
Provider Name (Legal Business Name): SHELBY H STRICKLAND AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2019
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 US 31W BYP
BOWLING GREEN KY
42101-1775
US

IV. Provider business mailing address

421 US 31W BYP
BOWLING GREEN KY
42101-1775
US

V. Phone/Fax

Practice location:
  • Phone: 270-782-7768
  • Fax: 270-781-9480
Mailing address:
  • Phone: 270-782-7768
  • Fax: 270-781-9480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD004189
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1368A
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number299014
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: