Individual
RENIECE SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
10406 W GREENFIELD ST, WICHITA, KS 67215-1655
(316) 644-8120
Mailing address
10406 W GREENFIELD ST, WICHITA, KS 67215-1655
(316) 644-8120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-115159-102
KS
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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