Individual
KRISTY KATE SHUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4851 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-1173
(606) 886-2193
Mailing address
PO BOX 697, PRESTONSBURG, KY 41653-0697
(606) 886-1173
(606) 886-2193
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39531
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64126451
—
KY
05
—
7100004160
—
KY
Enumeration date
11/01/2006
Last updated
07/31/2019
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