KRISTA E. SHACKELFORD

WICHITA, KS
NPI1922038801
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: KS  0432039)
Additional Taxonomies207N00000X Dermatology
(Licence: IN  01061838A)
Enumeration Date2006-07-04
Last Update Date2008-04-02
Business Address
-- KRISTA E. SHACKELFORD M.D.
835 N HILLSIDE ST
WICHITA, KS 67214-4913
Phone number: 316-685-4395
Mailing Address
-- KRISTA E. SHACKELFORD M.D.
835 N HILLSIDE ST
WICHITA, KS 67214-4913
Phone number: 316-685-4395