Individual provider · Type 1 NPI

Kent Lyle Shippen, PA

Physician Assistant · Driggs, ID

NPI number 1942379003 Active

Practice location

283 N 1st E
Driggs, ID 83422-5109

Fax (208) 354-8392

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-617 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1942379003

Kent Lyle Shippen, PA's National Provider Identifier is 1942379003, issued on Nov 6, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Driggs, ID. The record was last updated on Jul 9, 2007.