Individual
SHELLY DENISE CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
614 N MULBERRY RD, DERBY, KS 67037-3532
(316) 305-3958
Mailing address
1100 E LOST HILLS ST, DERBY, KS 67037-8775
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
23-00012
KS
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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