KENYATTA SHELTON

Technician, Other

Active Individual
NPI: 1376231696

Practice Address

5135 W WASHINGTON BLVD
Chicago, IL 60644

Phone: (773) 642-7314

Specialties

Specialty Code Primary License
Dietetic Technician, Registered 136A00000X No 131014391 (IL)
Technician, Other 247200000X Yes 131014391 (IL)

Frequently Asked Questions

NPI 1376231696 is the National Provider Identifier for KENYATTA SHELTON, a Technician, Other provider located in Chicago, IL. This NPI was enumerated on April 25, 2023.
KENYATTA SHELTON practices at 5135 W WASHINGTON BLVD, Chicago, IL 60644.

Quick Facts

NPI
1376231696
Type
Individual
Enumerated
Apr 25, 2023
Last Updated
Apr 25, 2023

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