Individual provider · Type 1 NPI

Keith Edward Shults, RPA

Surgical Physician Assistant · Syracuse, NY

NPI number 1770832909 Active

Practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Fax (315) 703-5079

Mailing address

104 Union Ave, Suite 804
Syracuse, NY 13203-1843

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1770832909

Keith Edward Shults, RPA's National Provider Identifier is 1770832909, issued on Sep 4, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Syracuse, NY. The record was last updated on May 31, 2013.