Individual
MRS. SHELLY M DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
21 CORPORATE WOODS, 10870 BENSON DRIVE #2160, OVERLAND PARK, KS 66210
(833) 357-3227
Mailing address
5525 RESEARCH PARK DR, 4TH FLOOR, BALTIMORE, MD 21228-4873
(913) 945-2080
(913) 945-2095
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
139284
MO
163W00000X
Registered Nurse
14-72612-121
KS
363L00000X
Nurse Practitioner
139284
MO
363L00000X
Nurse Practitioner
Primary
45319
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200364830A
—
KS
01
—
36825013
BCBS
—
05
—
427616909
—
MO
Enumeration date
04/26/2006
Last updated
11/26/2019
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