Kevin Micheal Shelton in Los Angeles - Addiction (substance Use Disorder)
Kevin Micheal Shelton - NPI 1366565491
Kevin Micheal Shelton is a Addiction (substance Use Disorder) in Los Angeles, California. Kevin Micheal Shelton practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kevin Micheal Shelton is 1366565491. The last update date is 2015-12-15.
Kevin Micheal Shelton's current location address is 5715 S Broadway, Los Angeles, California. You can contact this provider via phone number 3239480444 and fax number 3239480419. The mailing address for Kevin Micheal Shelton is 5715 S Broadway, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Micheal Shelton |
|---|---|
| Address | 5715 S Broadway, Los Angeles, California |
| Phone Number | 3239480444 |
| Fax Number | 3239480419 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1366565491 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2015-12-15 |
Provider Mailing Address Detail
| Address | 5715 S Broadway |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900374131 |
| Phone Number | 3239480444 |
| Fax Number | 3239480419 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 743045262 | CA | TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kevin Micheal Shelton by the Centers for Medicare & Medicaid Services?
The Kevin Micheal Shelton has been assigned the NPI (National Provider Identifier) 1366565491 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Kevin Micheal Shelton's facilities are geographically located?
The facilities of Kevin Micheal Shelton are physically situated at the following location: 5715 S Broadway, Los Angeles, CA, 900374131.
What is Kevin Micheal Shelton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Micheal Shelton's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
When did Kevin Micheal Shelton receive its 1366565491 assignment?
The Kevin Micheal Shelton was assigned its 1366565491 on 2007-04-06, which is the date when this unique identifier was issued to the organization.
When was the information related to Kevin Micheal Shelton most recently updated or refreshed?
The details pertaining to the Kevin Micheal Shelton, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-15.