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Dr. Kenneth Ryan Shackelford, DNP,APRN,FNP-BC
Family Nurse Practitioner in Festus, Missouri
NPI 1811774417

Kenneth Ryan Shackelford is a Family Nurse Practitioner based in Wildwood, MO and is specialized in Family. Kenneth Ryan Shackelford practices in Festus, MO and has the professional credentials of DNP,APRN,FNP-BC. The NPI Number for Kenneth Ryan Shackelford is 1811774417 and holds a License No. 2023036843 (Missouri).

The current practice location address for Kenneth Ryan Shackelford is 1405 N Truman Blvd, Festus, MO and can be reached out via phone at 636-933-2243.

Location: 1405 N Truman Blvd, Festus, MO, 63011-1800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811774417
Provider Name
Kenneth Ryan Shackelford
Credential
DNP,APRN,FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
1405 N Truman Blvd, Festus, MO, 63011-1800
Phone Number
636-933-2243
Fax Number
Provider Enumeration Date
09/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1405 N Truman Blvd
City
Festus
State
Missouri
Zip
63028-1177
Phone Number
636-933-2243
Fax Number
person
Provider Business Mailing Address Details
Address
1405 N Truman Blvd
City
Festus
State
Missouri
Zip
63028-1177
Phone Number
636-933-2243
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2023036843 (Missouri)
Definition
Definition to come...
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