JOHN AUSTIN SHELTON

LOUISVILLE, KY
NPI1508256447
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  3010120)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TN  RN0000169631)
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  103483)
Enumeration Date2015-01-30
Last Update Date2020-07-08
Business Address
JOHN AUSTIN SHELTON CRNA
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-852-1735
Mailing Address
JOHN AUSTIN SHELTON CRNA
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0328