Individual
SHANDA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8929 PARALLEL PKWY, KANSAS CITY, KS 66112-3607
(913) 596-4000
Mailing address
2951 N GOVERNEOUR ST, WICHITA, KS 67226-1760
(316) 201-1133
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0431238
KS
207P00000X
Emergency Medicine Physician
Primary
2013026520
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200355370A
—
KS
Enumeration date
10/16/2006
Last updated
03/11/2025
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