Individual
SHAWN M. STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20333 W 151ST ST, OLATHE, KS 66061-5350
(913) 791-4357
Mailing address
PO BOX 716, OVERLAND PARK, KS 66201-0716
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-34157
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134340805
—
MO
05
—
200653770A
—
KS
01
—
3167276
UHC
KS
01
—
44272011
BCBS
KS
01
—
P00882252
RR MEDICARE
KS
Enumeration date
05/01/2007
Last updated
08/19/2011
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