MEDICARE: DR. KAREN PATRICIA SHELTON 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
1	207V00000X	Obstetrics & Gynecology Physician	200600612	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200600612	OTHER	NC	LICENSE NO FOR NC MEDICAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386652105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN PATRICIA SHELTON D.O.

Provider Business Mailing Address
First Line	:	418 HWY 58 NORTH
Second Line	:	PO BOX 216
City	:	TRENTON
State	:	NC
Zip	:	28585
Country	:	US
Telephone Number	:	252-448-9111
Fax Number	:	252-448-1443

Provider Business Practice Location Address
First Line	:	418 NC HIGHWAY 58 N
Second Line	:
City	:	TRENTON
State	:	NC
Zip	:	28585-9530
Country	:	US
Telephone Number	:	252-448-9111
Fax Number	:	252-448-1443

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	03/23/2012

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