Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH RYAN SHACKELFORD, DNP, APRN, FNP-BC
ActiveDR. KENNETH RYAN SHACKELFORD, DNP, APRN, FNP-BC is a Family Nurse Practitioner healthcare provider located in FESTUS, Missouri. NPI 1811774417 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · FESTUS, MO
Registration Details
- NPI Number
- 1811774417
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2023 (2.9056368566043 yrs)
- Last Updated
- Sep 8, 2023
- License
-
2023036843 (MO)
Practice Information
- Address
-
1405 N TRUMAN BLVDFESTUS, MO, 630281177Browse MO providers · Browse ZIP 63028
- Phone
- 6369332243
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in FESTUS, MO
| Name | Credential | NPI |
|---|---|---|
| KATHRYN A BERNS | NP | 1316943764 |
| AMIE S. NASH | F.N.P. | 1568452324 |
| PAMELA S. DUBOIS | APN | 1801866975 |
| MRS. ERICA LYN JENKS | F.N.P. | 1477799369 |
| MRS. AMANDA M SHERWOOD | APRN, FNP, BC | 1326376682 |
| SUSAN ELIZABETH MOSER | FNP | 1154679314 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.