Provider Demographics
NPI:1598956989
Name:SHELTON, BETH ANN (MD)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:SHELTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1902 S US HIGHWAY 59 BLDG E
Mailing Address - Street 2:STE 201
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-4948
Mailing Address - Country:US
Mailing Address - Phone:620-820-5545
Mailing Address - Fax:620-820-5546
Practice Address - Street 1:1902 S US HIGHWAY 59 BLDG E
Practice Address - Street 2:STE 201
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357-4948
Practice Address - Country:US
Practice Address - Phone:620-820-5545
Practice Address - Fax:620-820-5546
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KYR0781208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation