Individual
DR. SHANE MICHAEL STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8781 N PLATTE PURCHASE DR, KANSAS CITY, MO 64155-1829
(816) 587-3200
(816) 587-7644
Mailing address
8781 N PLATTE PURCHASE DR, KANSAS CITY, MO 64155-1829
(816) 587-3200
(816) 587-7644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023015522
MO
208000000X
Pediatrics Physician
8862
NE
Other
Enumeration date
06/18/2020
Last updated
08/13/2024
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