Individual
DR. SHANE LOUIS OLIVERIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9150 GLENWOOD ST, OVERLAND PARK, KS 66212-1364
(913) 385-1999
Mailing address
12404 CHERRY ST, KANSAS CITY, MO 64145-1155
(913) 669-0970
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
T-01164
KS
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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