KRISTY SHELLENBERGER PA-C
NPI 1396992251
Physician Assistant - Medical in Philadelphia, PA
Active since August 22, 2008
3380 MEMPHIS ST, MEMPHIS STREET PEDIATRICS, PHILADELPHIA, PA 19134(215) 426-5566(215) 739-7304 Get Directions Write a Review
About Kristy Shellenberger Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTY SHELLENBERGER PA-C (NPI 1396992251) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OA002088) and active in the NPI registry since August 2008.
NPPES Registry Identity
NPI1396992251
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTY SHELLENBERGERCredential: PA-C
Location Address3380 MEMPHIS ST, MEMPHIS STREET PEDIATRICSPhiladelphia, PA 19134-4510
Mailing Address3380 Memphis St, Memphis Street PediatricsPhiladelphia, PA 19134-4510 · (215) 426-5566 · Fax (215) 739-7304
Phone(215) 426-5566
Fax(215) 739-7304
Sole ProprietorNo
Enumeration DateAugust 22, 2008
✔ NPI 1396992251 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in PA · OA002088✔ Licensed in PA · MA051755
3380 MEMPHIS ST, Philadelphia, PA 19134
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396992251, enumerated as an "individual" on August 22, 2008.
The provider is located at 3380 MEMPHIS ST MEMPHIS STREET PEDIATRICS PHILADELPHIA, PA 19134 and the phone number is (215) 426-5566.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
