Individual
KRISTIN R. SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 FOREST RIDGE PKWY STE 310, NEW CASTLE, IN 47362-2943
(765) 599-3400
Mailing address
PO BOX 485, NEW CASTLE, IN 47362-0485
(765) 521-1516
(765) 599-3131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000804A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000794429
—
IN
Enumeration date
07/22/2006
Last updated
09/11/2020
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