Mark Shaver, PHDCCCA

Practice location

Address

5015 E. 29th Street North 'Entrance T', Wichita, KS 67220

Phone

(316) 978-3289

Fax

(316) 978-7264

Mailing address

1305 E 5th Ave, Winfield, KS 67156-2406

Registered specialties

Registry record

NPI

1447515440

Entity type

Individual

Sex (as registered)

Male

NPI issued

6 Jul 2012

Record last updated

28 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.