Individual
KELLIE F FLOOD-SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 W WINDCREST ST, FREDERICKSBURG, TX 78624-4639
(830) 990-1404
Mailing address
PO BOX 835, FREDERICKSBURG, TX 78624-0835
(830) 990-1404
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H5234
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBSTX - WCCA
TX
05
—
PENDING
—
TX
Enumeration date
10/25/2005
Last updated
05/06/2022
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