Kendra P Shackelton (NPI# 1629355425, PAC ID# 6800028960) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1629355425 |
PAC ID by PECOS | 6800028960 |
Professional Enrollment ID | I20140404000399 |
Full Name | Kendra P Shackelton |
Organization Legal Name | SENIORS WELLNESS GROUP OF MICHIGAN, P.C. |
Address |
221 S Main St Suite 201 Royal Oak MI 48067-2653 |
Phone Number | 2483986459 |
Gender | F |
Graduation Year | 2009 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Group Practice PAC ID | 7012950462 |
Number of Group Practice Members | 25 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
221 S Main St, Suite 201, Royal Oak, MI 48067-2653 | 2483986459 | SENIORS WELLNESS GROUP OF MICHIGAN, P.C. |
221 S Main St, Royal Oak, MI 48067-2653 | 2483986459 | SENIORS WELLNESS GROUP OF MICHIGAN, P.C. |
Organization Legal Name | SENIORS WELLNESS GROUP OF MICHIGAN, P.C. |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Umecca D Cowart | Nurse Practitioner | Seniors Wellness Group of Michigan, P.C. | 221 S Main St, Royal Oak, MI 48067-2653 |
Stacy A Sharpe | Physician Assistant | Seniors Wellness Group of Michigan, P.C. | 221 S Main St, Royal Oak, MI 48067-2611 |
Janel Abunasr | Nurse Practitioner | Seniors Wellness Group of Michigan, P.C. | 221 S Main St, Suite 201, Royal Oak, MI 48067-2611 |
Street Address |
221 S MAIN ST SUITE 201 |
City | ROYAL OAK |
State | MI |
Zip | 48067-2653 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jung Yoen Son | Nurse Practitioner | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 |
Harmony L Mckay | Nurse Practitioner | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2611 |
Keith A Christie | Psychologist, Clinical | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 |
Sherry L Lord | Psychologist, Clinical | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2611 |
Braden K Guidry | Physical Therapy | 221 S Main St, Church Point, LA 70525-3115 | |
Melanie M Finamore | Nurse Practitioner | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 |
Carol J Beck | Nurse Practitioner | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2611 |
Joanne L Terry | Clinical Social Worker | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 |
Shelly L Smith | Physician Assistant | Seniors Wellness Group, P.C. | 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 |
Christina R Hancock | Clinical Social Worker | 221 S Main St, Bryan, OH 43506-1759 | |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie P Williams | Psychologist, Clinical | 618 E Eleven Mile Rd, Transcendence Behavioral Health, Royal Oak, MI 48067 | |
Joyce A Dixson-haskett | Clinical Social Worker | 26080 Woodward Ave, Royal Oak, MI 48067-0914 | |
Poala D Prude Hall | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
Paul D Krebsbach | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
Nik Gjurashaj | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
Sachin S Parikh | Cardiovascular Disease (cardiology) | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
Rachel Lynn Carolan | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
Raymond D Allard | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
Michael J Zimmer | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
Janice F Mcintosh | Certified Nurse Midwife | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
Find all physicians in zip 48067 |
City | ROYAL OAK |
Zip Code | 48067 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | ROYAL OAK + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Kendra P Shackelton.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.