| Doctor Name: | MONICA MOSS SHELTON |
| NPI Number: | 1134329469 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | KY CERT. 1ST ASSIST |
| License Number: | SA031 |
| Business Practice Address: | 382 Irish Cir Hopkinsville, KY - 422401779 |
| Business Phone Number: | 2708869284 |
| Business Fax Number: | |
| Mailing Address: | 382 Irish Cir, HOPKINSVILLE |
| State: | KY |
| Postal Code: | 422401779 |
| Phone Number: | 2708869284 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2007 |
| NPI Last Update Date: | 07/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246Z00000X |
| License Number: | SA031 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |