Individual
SHAUNA RAE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2310 HOLMES ST, SUITE 800, KANSAS CITY, MO 64108-2602
(816) 218-2500
Mailing address
2310 HOLMES ST, SUITE 800, KANSAS CITY, MO 64108-2602
(816) 218-2500
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
33925
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226571
—
IA
Enumeration date
04/04/2006
Last updated
08/17/2011
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