Organization
SHAWN L WILLSON M.D., LLC
Active
Organization
SHAWN L WILLSON M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA LYNN DEFREECE (MANAGER)
(913) 381-4200
Entity
Organization
Contact information
Practice address
7301 MISSION RD, BLDG 2, STE 111, PRAIRIE VILLAGE, KS 66208-3006
(913) 381-4200
(913) 381-4201
Mailing address
7301 MISSION RD, BLDG 2, STE 111, PRAIRIE VILLAGE, KS 66208-3006
(913) 381-4200
(913) 381-4201
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
0433574
KS
2084F0202X
Forensic Psychiatry Physician
Primary
0433574
KS
2084P0800X
Psychiatry Physician
0433574
KS
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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