Search › Kentucky › 175T00000X
Mylah Shields
NPI 1407578750 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1365 Devonport Dr
Lexington, KY 40504 - Phone
- (859) 309-2240
- Organisation at this address
- Tracys Residential Re Entry Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-14
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 Kentucky