Individual
KALIE SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
729 1/2 MASSACHUSETTS ST STE 206, LAWRENCE, KS 66044-2257
(785) 407-4874
Mailing address
729 1/2 MASSACHUSETTS ST STE 206, LAWRENCE, KS 66044-2257
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79930-011
KS
363LF0000X
Family Nurse Practitioner
AP139958
TX
Other
Enumeration date
08/08/2018
Last updated
12/21/2022
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