| Kristie Shores, PA-C | |
| 7096 Decatur St, New Tripoli, PA 18066-3815 | |
| (610) 298-8521 | |
| Not Available | 
| Full Name | Kristie Shores | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant - Medical | 
| Location | 7096 Decatur St, New Tripoli, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942784319 | NPI | - | NPPES | 
| MA060130 | Other | PA | STATE LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | MA060130 (Pennsylvania) | Secondary | 
| 363AM0700X | Physician Assistant - Medical | MA060130 (Pennsylvania) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kristie Shores, PA-C 1605 N Cedar Crest Blvd Ste 411, Allentown, PA 18104-2323 Ph: (484) 330-1377 | Kristie Shores, PA-C 7096 Decatur St, New Tripoli, PA 18066-3815 Ph: (610) 298-8521 | 
| Marie Jamie Fluke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7096 Decatur St, New Tripoli, PA 18066 Phone: 610-298-8521 | |
| Jennifer L Zellner, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 7096 Decatur St, New Tripoli, PA 18066 Phone: 610-298-8521 Fax: 610-298-3021 |