Individual
CHRIS L SHULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11595 KENAI SPUR HWY, KENAI, AK 99611-7757
(907) 283-8400
Mailing address
11595 KENAI SPUR HWY, KENAI, AK 99611-7757
(907) 283-8400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2488
CO
363AM0700X
Medical Physician Assistant
Primary
178849
AK
363AS0400X
Surgical Physician Assistant
Primary
PA.0002488
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2488
COLORADO DEPARTMENT OF HEALTH AND ENVIRONMENT
CO
01
—
268825YL8F
MEDICARE PTAN
—
05
—
73226769
—
CO
Enumeration date
10/10/2007
Last updated
02/05/2026
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