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Kelley Shaffer, PA-C
Medical Physician Assistant in Frisco, Texas
NPI 1538782677

Kelley Shaffer is a Medical Physician Assistant based in Frisco, TX and is specialized in Medical. Kelley Shaffer practices in Frisco, TX and has the professional credentials of PA-C. The NPI Number for Kelley Shaffer is 1538782677 and holds a License No. (Texas).

The current practice location address for Kelley Shaffer is 3220 Parkwood Blvd, Frisco, TX and can be reached out via phone at 972-668-3990.

Location: 3220 Parkwood Blvd, Frisco, TX, 75034-1917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538782677
Provider Name
Kelley Shaffer
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3220 Parkwood Blvd, Frisco, TX, 75034-1917
Phone Number
972-668-3990
Fax Number
Provider Enumeration Date
05/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA13393 01 TX PHYSICIAN ASSISTANT LICENSE
institution
Provider Business Practice Location Address Details
Address
3220 Parkwood Blvd
City
Frisco
State
Texas
Zip
75034-1917
Phone Number
972-668-3990
Fax Number
person
Provider Business Mailing Address Details
Address
3220 Parkwood Blvd
City
Frisco
State
Texas
Zip
75034-1917
Phone Number
972-668-3990
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
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Definition
Definition to come...
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