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:
Health care specialties
| Specialty | Code | License # | 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 17 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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