Provider Demographics
NPI:1992023428
Name:SHELTON, KERI HILL (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KERI
Middle Name:HILL
Last Name:SHELTON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1627 S MARBLEHEAD RD
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-7791
Mailing Address - Country:US
Mailing Address - Phone:336-414-6021
Mailing Address - Fax:
Practice Address - Street 1:1627 S MARBLEHEAD RD
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27023-7791
Practice Address - Country:US
Practice Address - Phone:336-414-6021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-07
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5454235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist