Individual
SHIANNE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6860 W 115TH ST, OVERLAND PARK, KS 66211-2457
(702) 579-3203
Mailing address
6860 W 115TH ST, OVERLAND PARK, KS 66211-2457
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022028583
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2021
Last updated
01/16/2025
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