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Individual

SHANNON LYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPAS, PA-C

Contact information

Practice address
4401 WORNALL RD, PEET CENTER #5368, KANSAS CITY, MO 64111-3220
(816) 932-6183
Mailing address
4910 W 71ST TER, PRAIRIE VILLAGE, KS 66208-2325

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2006038819
MO

Other

Enumeration date
01/24/2007
Last updated
03/29/2012
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