Individual
DR. KELLI YVETTE SHAON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1 HOSPITAL DR, MASON EYE INSTITUTE - DEPT OF OPHTHALMOLOGY, COLUMBIA, MO 65212-0001
(573) 882-1506
(573) 884-5575
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2005019957
MO
Other
Enumeration date
07/29/2006
Last updated
09/12/2022
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