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Amy Shackelford — NPI 1649609165, Kenosha, WI | NPI Central

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Amy Shackelford

NPI 1649609165 · Health Educator · Kenosha, WI

Provider details

NPI number: 1649609165
Entity type: Individual
Primary specialty: Health EducatorOther Service Providers
Sex: Female
Sole proprietor: No
License: 1570-19 (WI)

Specialties & taxonomies

Health EducatorPrimary174H00000XLicense 1570-19 (WI)
Other Service Providers

Practice location

1703 60th St

Kenosha, WI 53140-3986

Phone: (262) 658-4125

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

1703 60th St

Kenosha, WI 53140-3986

Registry dates

Enumerated: 2013-11-05
Last updated: 2013-11-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.