Individual
KIRSTEN ELIZABETH SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7777 HENNESSY BLVD STE 1000, BATON ROUGE, LA 70808-4370
(225) 767-3900
(225) 766-2226
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 767-3900
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
333128
LA
Other
Enumeration date
08/22/2022
Last updated
10/30/2024
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