Individual
SHANNON GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1914 SWIFT AVE, NORTH KANSAS CITY, MO 64116-3447
(816) 221-1603
Mailing address
9904 MERCIER ST, KANSAS CITY, MO 64114-4257
(816) 510-8022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017040108
MO
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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