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Shelby Koshy
NPI 1225726797 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4440 W Havana Ave
Fayetteville, AR 72704 - Phone
- (715) 292-4329
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas