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Individual

KIRSTIN RENEE SHOLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2444 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4327
(308) 382-1100
Mailing address
PO BOX 550, GRAND ISLAND, NE 68802-0550
(308) 382-1100

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
11001
SD
207V00000X
Obstetrics & Gynecology Physician
Primary
35947
NE

Other

Enumeration date
06/23/2014
Last updated
11/10/2023
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