Shelby Burdine

Individual provider Active NPI Case Manager/Care Coordinator · Campbellsville, KY

NPI 1073258281 · NPPES record last updated May 2, 2022

Key facts

NPI
1073258281
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
250 Watertower Byp
Campbellsville, KY 42718-7654
Phone
(270) 465-7424
Fax
(270) 465-7993
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

250 Watertower Byp
Campbellsville, KY 42718-7654

Mailing address

130 Southern School Rd
Somerset, KY 42501-3223
Phone (606) 679-4782

Other providers in Campbellsville, KY

All providers in Campbellsville, KY · Case Manager/Care Coordinator in Kentucky

Sources for this page

Verify at the official NPI Registry.