Individual
MS. KRISTINA MICHELLE SHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4003 PENN AVE, PITTSBURGH, PA 15224-1337
(724) 309-5095
(724) 765-5475
Mailing address
4003 PENN AVE, PITTSBURGH, PA 15224-1337
(724) 309-5095
(724) 765-5475
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MA056234
PA
363A00000X
Physician Assistant
Primary
MA056234
PA
Other
Enumeration date
09/03/2013
Last updated
02/29/2024
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