Shackelford, Krista E.

Shackelford, Krista E. is an individual health care provider with primary practice located at 835 N Hillside St , Wichita KS 67214-4913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Shackelford, Krista E. can be contacted via phone (316) 685-4395.

Contact Information

Primary practice address
835 N Hillside St Wichita KS 67214-4913
Phone: (316) 685-4395
Fax: (316) 685-1149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01061838A Indiana
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0432039 Kansas

Profile Details

NPI number 1922038801
LBN Legal business name Shackelford, Krista E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Apr 2nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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