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NPI Code Detail

MEDICARE: VICKI K SHELTON MD

MEDICARE: VICKI K SHELTON MD
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
1174400000XSpecialist01027864IN

General Provider Information

NPI Number : 1649273269
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKI K SHELTON MD
Provider Business Mailing Address
First Line : 13250 HAZEL DELL PKWY
Second Line : SUITE 105
City : CARMEL
State : IN
Zip : 46033
Country : US
Telephone Number : 317-848-4000
Fax Number : 317-848-4455
Provider Business Practice Location Address
First Line : 13250 HAZEL DELL PKWY
Second Line : STE 105
City : CARMEL
State : IN
Zip : 46033-8527
Country : US
Telephone Number : 317-848-4000
Fax Number : 317-848-4455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 07/08/2007

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