NPI 1558605592
Shawn Minor
Practice location
- Address
- 32583 W 172nd St, Gardner, KS 66030-9220
- Phone
- (913) 515-9719
- Fax
- (913) 938-4316
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1558605592
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Nov 2012
- Record last updated
- 15 Nov 2012
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.