Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENT LYLE SHIPPEN, PA
ActiveKENT LYLE SHIPPEN, PA is a Physician Assistant healthcare provider located in DRIGGS, Idaho. NPI 1942379003 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DRIGGS, ID
Registration Details
- NPI Number
- 1942379003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2006 (19.765887484444 yrs)
- Last Updated
- Jul 9, 2007
- License
-
PA-617 (ID)
Practice Information
- Address
-
283 N 1ST EDRIGGS, ID, 834225109Browse ID providers · Browse ZIP 83422
- Phone
- 2083542302
- Fax
- 2083548392
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DRIGGS, ID
| Name | Credential | NPI |
|---|---|---|
| MICHELLE NORMA STONE | PA | 1629626411 |
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.