Individual
KRISTIE L SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 MIDTOWN RD, PERU, IL 61354-1274
(815) 223-0203
Mailing address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 664-5311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
385.002340
IL
Other
Enumeration date
10/22/2008
Last updated
09/23/2011
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