Individual provider · Type 1 NPI

Carly Shell

Student in an Organized Health Care Education/Training Program · Athens, OH

NPI number 1114491669 Active

Practice location

101 S Shafer St Apt C11
Athens, OH 45701-2461

Call (937) 570-0987 Map

Mailing address

8595 W Covington Gettysburg Rd
Covington, OH 45318-9701

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114491669

Carly Shell's National Provider Identifier is 1114491669, issued on Jan 17, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Athens, OH. The record was last updated on Jan 17, 2019.