Provider Demographics
NPI:1619926680
Name:SHELTON, KAREN E (MD, FACOG)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:E
Last Name:SHELTON
Suffix:
Gender:F
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 FRANCIS MARION LN
Mailing Address - Street 2:DISTRICT OFFICE, 2ND FLOOR
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-4227
Mailing Address - Country:US
Mailing Address - Phone:276-781-7450
Mailing Address - Fax:276-781-7455
Practice Address - Street 1:201 FRANCIS MARION LN
Practice Address - Street 2:DISTRICT OFFICE, 2ND FLOOR
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-4227
Practice Address - Country:US
Practice Address - Phone:276-781-7450
Practice Address - Fax:276-781-7455
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012601802083P0901X
TN29105207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006210619Medicaid
G52760Medicare UPIN
TN3811591Medicare ID - Type Unspecified