SHANNON KIPERASH, PA-C

Physician Assistant

Active Individual
NPI: 1417728973

Practice Address

2900 DOOLITTLE DR
Ellsworth Afb, SD 57706

Phone: (509) 714-5212

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Physician Assistant 363A00000X Yes 1225886 ()

Frequently Asked Questions

NPI 1417728973 is the National Provider Identifier for SHANNON KIPERASH, PA-C, a Physician Assistant provider located in Ellsworth Afb, SD. This NPI was enumerated on January 12, 2024.
SHANNON KIPERASH, PA-C practices at 2900 DOOLITTLE DR, Ellsworth Afb, SD 57706.

Quick Facts

NPI
1417728973
Type
Individual
Enumerated
Jan 12, 2024
Last Updated
Nov 21, 2024

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