Individual provider · Type 1 NPI

Khalelah Shackleford

Student in an Organized Health Care Education/Training Program · Pembroke, NC

NPI number 1295504546 Active

Practice location

1 University Rd
Pembroke, NC 28372-8699

Call (252) 624-4911 Map

Mailing address

6428 Nc Highway 903 S
La Grange, NC 28551-8362

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 1295504546

Khalelah Shackleford's National Provider Identifier is 1295504546, issued on Dec 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pembroke, NC. The record was last updated on Dec 28, 2023.