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Individual

DR. SHANNON KOHAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2790 CLAY EDWARDS DR STE 1235, NORTH KANSAS CITY, MO 64116-3276
(816) 472-5157
(816) 472-7200
Mailing address
2790 CLAY EDWARDS DR STE 1235, NORTH KANSAS CITY, MO 64116-3276
(816) 472-5157
(816) 472-7200

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2010028604
MO
2084N0400X
Neurology Physician
35.093769
OH
2084N0400X
Neurology Physician
43050
KY

Other

Enumeration date
04/25/2007
Last updated
11/04/2020
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