Individual
SHELBY KYAN BEARHEELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
620 N DIERS AVE STE 200, GRAND ISLAND, NE 68803-4985
(308) 384-5400
(308) 384-5201
Mailing address
620 N DIERS AVE STE 200, GRAND ISLAND, NE 68803-4985
(308) 384-5400
(308) 384-5201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2808
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2021
Last updated
10/05/2022
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