Kent Lyle Shippen, PA
Kent Lyle Shippen, PA is a Physician Assistant in Driggs, Idaho. Qualified in 2005, 21 years ago. Practices with Advanced Dermatology of Wyoming Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 21
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
283 N 1st EDriggs, ID 83422-5109
Phone: (208) 354-2302
Fax: (208) 354-8392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-617 (ID) |
|---|
Record details
| NPI number | 1942379003 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | November 6, 2006 |
| Last updated in NPPES | July 9, 2007 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Advanced Dermatology Of Wyoming Inc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Driggs
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Michelle Norma Stone, PA
120 E Howard Ave, Driggs, ID 83422 · (208) 354-2383