KENNETH SHULTS JR. R.N.
NPI 1851717649
Counselor - Mental Health in Lawrenceville, GA

Active since March 17, 2014
175 GWINNETT DR, LAWRENCEVILLE, GA 30046(678) 209-2394(678) 212-6343 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Shults Jr. R.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH SHULTS JR. R.N. (NPI 1851717649) is an individual mental health provider in Lawrenceville, Georgia and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1851717649
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKENNETH SHULTS JR.Credential: R.N.
Location Address175 GWINNETT DRLawrenceville, GA 30046-8444
Mailing Address2053 Powers Ferry Rd Se, Apt. DMarietta, GA 30067-9675 · (904) 534-4725
Fax(678) 212-6343
Sole ProprietorYes
Enumeration DateMarch 17, 2014
NPI 1851717649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
175 GWINNETT DR, Lawrenceville, GA 30046

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Counselor
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Behavior Technician
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Counselor (Mental Health)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Licensed Practical Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Shults's NPI number?

The NPI number for Kenneth Shults is 1851717649. It was assigned to this individual provider in the NPPES registry on March 17, 2014.

Where is Kenneth Shults located?

Kenneth Shults practices at 175 Gwinnett Dr, Lawrenceville, GA 30046. The listed phone number is (678) 209-2394.

What is Kenneth Shults's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kenneth Shults was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.