Individual
MRS. KRYSTAL KIM SHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
110 IRVING STREET, NW, WASHINGTON, DC 20010
(202) 877-6781
(202) 877-8118
Mailing address
5565 STERETT PLACE, COLUMBIA, MD 21044
(877) 772-6505
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN55812
DC
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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