Kelly Courtney Shadwick, AUD is a
Audiologist based in Fort Liberty, North Carolina. Kelly Courtney Shadwick is licensed to practice in North Carolina (license number 12332) and her current practice location is
2817 Rock Meritt Ave, Fort Liberty, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 907-6982.
NPI number for Kelly Courtney Shadwick is 1952614950 and her current mailing address is 736 Cambridge St, Department Of Otolarngology, Smc-8, Boston, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952614950.
Healthcare Provider's Profile
Full Name | Kelly Courtney Shadwick |
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Gender | Female |
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Speciality | Audiologist |
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Location | 2817 Rock Meritt Ave, Fort Liberty, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952614950
- Provider Enumeration Date: 07/19/2010
- Last Update Date: 03/28/2024
Medical Identifiers
Medical identifiers for Kelly Courtney Shadwick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952614950 | NPI | - | NPPES |
19QFR | Other | NC | BCBSNC |
1456498 | Other | SC | WELLCARE OF SC |
SA1792 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 12332 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Courtney Shadwick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Courtney Shadwick, AUD 736 Cambridge St, Department Of Otolarngology, Smc-8, Boston, MA 02135-2907 Ph: () - | Kelly Courtney Shadwick, AUD 2817 Rock Meritt Ave, Fort Liberty, NC 28310-1182 Ph: (910) 907-6982 |
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