Individual
KRISTIAN ELIZABETH SHANLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 328-4698
(913) 328-4603
Mailing address
7908 CAMPBELL ST, KANSAS CITY, MO 64131-2155
(913) 328-4698
(913) 328-4603
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4886
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10098080A
—
KS
Enumeration date
12/05/2006
Last updated
07/09/2007
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