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Shelby Lynn Kies

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as SHELBY KIES.

Based on the most recent information from CMS, provider Shelby Lynn Kies is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1700397213
Provider Type
Individual
Full Name
Kies, Shelby Lynn
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/24/2017
Last Updated
9/24/2024

Contact Information

Practice Location

120 E 2nd St Fl 2, Erie, PA 16507-1579

(814) 456-8980

Unlisted Fax

Mailing Location

120 E 2nd St Fl 2, Erie, PA 16507-1579

(814) 456-8980

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA059461 Pennsylvania
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License OA004315 Pennsylvania

Shelby Lynn Kies

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Skindell, Julie

Allgeier, Birgitta

Halilovic, Arijana

Niemi, Marissa L

Wise, Laura

Vakufac, Emina

Lippert, Micaela M

Murphy, Tamara J.

Francis, Ryan

Janson Staib, Stephanie