Krista E. Shackelford, M.D.

NPI #1922038801 in Wichita, Kansas

Provider Information

NPI Number: 1922038801
Entity Type: Individual
Name: Krista E. Shackelford, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Jul 4, 2006
Last Updated: Apr 2, 2008

Practice Location

Address: 835 N HILLSIDE ST
City: Wichita
State: Kansas
ZIP Code: 67214-4913
Phone: (316) 685-4395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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