Kelly Shook, PA

NPI #1336363381 in Austin, Texas

Provider Information

NPI Number: 1336363381
Entity Type: Individual
Name: Kelly Shook, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 12, 2007
Last Updated: Nov 11, 2009

Practice Location

Address: 4303 VICTORY DR
City: Austin
State: Texas
ZIP Code: 78704-8870
Phone: (512) 462-3627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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