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Individual

SHELBY MAE KIRKPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2821 DAGGETT AVE STE 100, KLAMATH FALLS, OR 97601-1106
(541) 274-6733
(541) 274-6247
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6564
(541) 274-6247

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA181860
OR
363LP2300X
Primary Care Nurse Practitioner
PA2233
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q006159
TN
Enumeration date
09/25/2012
Last updated
04/26/2023
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