Djaninn Mae Shannon Mckibben, PA-C
NPI #1023422805 in Bismarck, North Dakota
Provider Information
- NPI Number
- 1023422805
- Entity Type
- Individual
- Name
- Djaninn Mae Shannon Mckibben, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 19, 2014
- Last Updated
- Feb 22, 2023
Practice Location
- Address
- 222 N 7TH ST
- City
- Bismarck
- State
- North Dakota
- ZIP Code
- 58501-4436
- Phone
- (701) 323-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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