Individual provider · Type 1 NPI

Kenyatta Shelton

Other Technician · Chicago, IL

NPI number 1376231696 Active

Practice location

5135 W Washington Blvd
Chicago, IL 60644-3441

Call (773) 642-7314 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Dietetic Technician 136A00000X131014391 (IL)
Other Technician Primary 247200000X131014391 (IL)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1376231696

Kenyatta Shelton's National Provider Identifier is 1376231696, issued on Apr 25, 2023. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 25, 2023.