Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shelby Pediatrics, PSC

Organization Registered Nurse · NPI 1558415760

Shelby Pediatrics, PSC is a Registered Nurse in Shelbyville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
Specialties on file
5
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

71 Mack Walters Rd
Shelbyville, KY 40065-1751
Phone: (502) 633-7337
Fax: (502) 633-7338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 28387 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 1121406 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA557 (KY)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 3006166 (KY)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 3007777 (KY)

Record details

NPI number1558415760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Siegel — Medical Doctor · (502) 633-7337
NPI enumeratedJanuary 23, 2007
Last updated in NPPESMarch 27, 2013
Mailing address71 Mack Walters Rd, Shelbyville, KY 40065-1751

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