Individual
MS. KIRA CLOA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 HOWARD AVE STE B204, ALTOONA, PA 16601-4811
(814) 369-1002
Mailing address
501 HOWARD AVE STE B204, ALTOONA, PA 16601-4811
(814) 369-1002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055567
PA
363AM0700X
Medical Physician Assistant
MA055567
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033034900001
—
PA
Enumeration date
08/06/2012
Last updated
11/04/2025
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