KRISTY SHELLENBERGER PA-C NPI 1396992251

NPI Information

NPI: 1396992251
Provider Name: KRISTY SHELLENBERGER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3380 MEMPHIS ST
MEMPHIS STREET PEDIATRICS
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 426-5566
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Kristy Shellenberger, PA-C is a medical physician assistant in Philadelphia, PA. Kristy Shellenberger, PA-C NPI is 1396992251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3380 MEMPHIS ST
MEMPHIS STREET PEDIATRICS
PHILADELPHIA, PA
ZIP 19134-510
Phone: (215) 426-5566
Fax: (215) 739-7304

The enumeration date for this NPI number is 8/22/2008 and was last updated on 8/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	MA051755	PENNSYLVANIA	No
2	363AM0700X	Physician Assistant	Medical	OA002088	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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