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Shelly Ray Balliet, APRN
Family Nurse Practitioner in Paducah, Kentucky
NPI 1184126260

Shelly Ray Balliet is a Family Nurse Practitioner based in Paducah, KY and is specialized in Family. Shelly Ray Balliet practices in Paducah, KY and has the professional credentials of APRN. The NPI Number for Shelly Ray Balliet is 1184126260 and holds a License No. 3012051 (Kentucky).

The current practice location address for Shelly Ray Balliet is 225 Medical Center Dr Ste 304, Paducah, KY and can be reached out via phone at 270-538-5596 and via fax at 270-538-5597.

Location: 225 Medical Center Dr Ste 304, Paducah, KY, 42003-7934
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Provider Profile Details
NPI Number
1184126260
Provider Name
Shelly Ray Balliet
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
225 Medical Center Dr Ste 304, Paducah, KY, 42003-7934
Phone Number
270-538-5596
Fax Number
270-538-5597
Provider Enumeration Date
03/05/2018
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100509320 05 KY
institution
Provider Business Practice Location Address Details
Address
225 Medical Center Dr Ste 304
City
State
Zip
42003-7915
Phone Number
270-538-5596
Fax Number
270-538-5597
person
Provider Business Mailing Address Details
Address
225 Medical Center Dr Ste 304
City
State
Zip
42003-7915
Phone Number
270-538-5596
Fax Number
270-538-5597
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3012051 (Kentucky)
Definition
Definition to come...
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