Individual
KIRSTEN M SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1550 3 MILE RD NW, WALKER, MI 49544-8251
(616) 785-3883
(616) 785-1982
Mailing address
1550 3 MILE ROAD NW, WALKER, MI 49544
(616) 785-3883
(616) 785-1982
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003678
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M80080
MEDICARE
MI
01
—
1598712390
GROUP NPI
MI
01
—
1649287517
GROUP NPI
MI
Enumeration date
09/06/2006
Last updated
02/17/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us