Individual
CLINTON SHRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2000
Mailing address
PO BOX 5607, DENVER, CO 80217-5607
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02165
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-02165
KANSAS STATE LICENSE
KS
Enumeration date
11/12/2018
Last updated
10/05/2024
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