-- KRISTA E. SHACKELFORD -- M.D.
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1922038801- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 835 N HILLSIDE ST, WICHITA, KS, 672144913
- Phone
- (316) 685-4395
- Fax
- (316) 685-1149
Specialties & Taxonomies
Dermatology
License: IN #01061838A
Dermatology
Primary License: KS #0432039