Shannon L Hafertepen, PA-C
NPI #1598999476 in Fort Riley, Kansas
Provider Information
- NPI Number
- 1598999476
- Entity Type
- Individual
- Name
- Shannon L Hafertepen, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- May 7, 2009
- Last Updated
- May 7, 2009
Practice Location
- Address
- 600 CAISSON HILL RD
- City
- Fort Riley
- State
- Kansas
- ZIP Code
- 66442-7037
- Phone
- (785) 239-4411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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