DR. Kenneth Ryan Shackelford, DNP, APRN, FNP-BC is a family nurse practitioner in Festus, MO with 1 years of experience. DR. Kenneth Ryan Shackelford, DNP, APRN, FNP-BC NPI is 1811774417. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1405 N TRUMAN BLVD
FESTUS, MO
ZIP 63028-177
Phone: (636) 933-2243
The NPI 1811774417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/8/2023 and was last updated on 9/8/2023.