Individual
DR. SHANE DOUGLAS KENTOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-6214
(913) 588-5000
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
03250
KS
Other
Enumeration date
08/02/2013
Last updated
08/17/2023
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