Individual
KELLY SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-6892
(541) 706-6813
Mailing address
234 GOODMAN ST, MAIL LOCATION 0796, CINCINNATI, OH 45219-2364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TP735
KY
Other
Enumeration date
10/31/2007
Last updated
04/07/2025
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