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Individual

KIARA SHACKELFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(864) 432-3664
Mailing address
1135 GREGG HWY NW, AIKEN, SC 29801-6341

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/24/2025
Last updated
09/24/2025
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Product
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  • Eligibility checks
  • EDI platform