Individual
KRISTIAN SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
604 HIGHWAY 80 W, SUITE R OFFICE 2, CLINTON, MS 39056-4108
(601) 473-2106
(601) 473-2150
Mailing address
122 RICHMOND WAY, CANTON, MS 39046-6000
(769) 990-8040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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