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Kenyatta Shelton
NPI 1376231696 · on the registry since 2023 · sole proprietor
Practice
- Address
- 5135 W Washington Blvd
Chicago, IL 60644 - Phone
- (773) 642-7314
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Also registered as
- 136A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-25
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 Illinois