Individual
MS. SHADONNA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 E 101ST TER STE 350, KANSAS CITY, MO 64131-5310
(904) 521-0088
Mailing address
8846 CRESCENT AVE, KANSAS CITY, MO 64138-4714
(904) 521-0088
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2019012759
MO
Other
Enumeration date
04/23/2020
Last updated
02/11/2021
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