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Individual
ANNA SHUCK
Active
Individual
ANNA SHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53-79113-062
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53-79113-062
KANSAS STATE BOARD OF NURSING
KS
Enumeration date
11/11/2019
Last updated
11/11/2019
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