DR. Kenneth Ryan Shackelford, DNP, APRN, FNP-BC

NPI #1811774417 in Festus, Missouri

Provider Information

NPI Number
1811774417
Entity Type
Individual
Name
DR. Kenneth Ryan Shackelford, DNP, APRN, FNP-BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
DNP, APRN, FNP-BC
Enumeration Date
Sep 8, 2023
Last Updated
Sep 8, 2023

Practice Location

Address
1405 N TRUMAN BLVD
City
Festus
ZIP Code
63028-1177
Phone
(636) 933-2243

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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