Individual
KRISTY SHELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3380 MEMPHIS ST, MEMPHIS STREET PEDIATRICS, PHILADELPHIA, PA 19134-4510
(215) 426-5566
(215) 739-7304
Mailing address
3380 MEMPHIS ST, MEMPHIS STREET PEDIATRICS, PHILADELPHIA, PA 19134-4510
(215) 426-5566
(215) 739-7304
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA051755
PA
363AM0700X
Medical Physician Assistant
Primary
OA002088
PA
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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