Shutts, Kristy Kate

Shutts, Kristy Kate is an individual health care provider with primary practice located at 4851 Ky Route 321 , Prestonsburg KY 41653-9113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shutts, Kristy Kate can be contacted via phone (606) 886-1173.

Contact Information

Primary practice address
4851 Ky Route 321 Prestonsburg KY 41653-9113
Fax: (606) 886-2193
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39531 Kentucky

Profile Details

NPI number 1407933187
LBN Legal business name Shutts, Kristy Kate
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 31st, 2019 - 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 1407933187 NPPES
Kentucky MEDICAID 64126451
Kentucky MEDICAID 7100004160

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