Individual
REGAN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-1227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02618
KS
363A00000X
Physician Assistant
2022006989
MO
363A00000X
Physician Assistant
PA12677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397532801
—
TX
01
—
397532802
CSHCN MEDICAID
TX
Enumeration date
02/13/2019
Last updated
02/04/2026
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