Individual
KRISTYN E. SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
210 ALDER ST., TELLURIDE, CO 81435
(970) 708-0224
(866) 277-0269
Mailing address
PO BOX 1962, TELLURIDE, CO 81435-1962
(970) 708-0224
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5747
AZ
111N00000X
Chiropractor
Primary
6102
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COB4858
MEDICARE PTAN
CO
Enumeration date
07/08/2006
Last updated
02/25/2013
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