Kirsten M Shively, PA

NPI #1700989605 in Walker, Michigan

Provider Information

NPI Number: 1700989605
Entity Type: Individual
Name: Kirsten M Shively, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 6, 2006
Last Updated: Feb 17, 2021

Practice Location

Address: 1550 3 MILE RD NW
City: Walker
State: Michigan
ZIP Code: 49544-8251
Phone: (616) 785-3883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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