Shields, Kristin R.

Shields, Kristin R. is an individual health care provider with primary practice located at 2200 Forest Ridge Pkwy Ste 310 , New Castle IN 47362-2943. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shields, Kristin R. can be contacted via phone (765) 599-3400.

Contact Information

Primary practice address
2200 Forest Ridge Pkwy Ste 310 New Castle IN 47362-2943
Phone: (765) 599-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000804A Indiana

Profile Details

NPI number 1669493839
LBN Legal business name Shields, Kristin R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Sep 11th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669493839 NPPES
Indiana MEDICAID 000000794429

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