Dr KEITH E SHULTS is a male medical professional, specializing in Physician Assistant. He graduated in 2012.
ST JOSEPHS MEDICAL PC
5100 W TAFT RD
LIVERPOOL
NY
130883807
Tel: 3154522828
| Npi | 1770832909 |
| Pac Id | 2365682556 |
| Professional Enrollment Id | I20130711000596 |
| Last Name | SHULTS |
| First Name | KEITH |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | ST JOSEPHS MEDICAL PC |
| Group Practice Pac Id | 4688855844 |
| Number Of Group Practice Members | 332 |
| Line 1 Street Address | 5100 W TAFT RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 130883807 |
| Phone Number | 3154522828 |
| Hospital Affiliation Ccn 1 | 330140 |
| Hospital Affiliation Lbn 1 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
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| Professional Accepts Medicare Assignment | Y |
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