# DR. KRISTIN ELAINE SHIPMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952591901
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | 46850 | CO | Yes |
| 2086S0120X | Pediatric Surgery Physician | M2100 | TX | — |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 01/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025770000 | — | NE |
| 05 | — | 1952531901 | — | MT |
| 05 | — | 1952591901 | — | SD |
| 05 | — | 1952591901 | — | WY |
| 05 | — | 53728301 | — | CO |
| 05 | — | 74350048 | — | NM |