DR. Kristopher Ryan Shannon, M.D.

NPI #1063807022 in Pocatello, Idaho

Provider Information

NPI Number: 1063807022
Entity Type: Individual
Name: DR. Kristopher Ryan Shannon, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Apr 6, 2015
Last Updated: Oct 17, 2025

Practice Location

Address: 850 YELLOWSTONE AVE
City: Pocatello
State: Idaho
ZIP Code: 83201-4415
Phone: (208) 239-8065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X

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