Individual
KYRA SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
820 SIR THOMAS CT, HARRISBURG, PA 17109-4839
(717) 652-9555
(717) 791-2621
Mailing address
820 SIR THOMAS CT, HARRISBURG, PA 17109-4839
(717) 652-9555
(717) 791-2621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065269
PA
363A00000X
Physician Assistant
OA006760
PA
Other
Enumeration date
08/02/2023
Last updated
11/29/2024
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