Individual
COLLIN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8325 LENEXA DR # 150, LENEXA, KS 66214-1654
(888) 652-9225
Mailing address
9217 E 69TH ST, RAYTOWN, MO 64133-5710
(816) 258-9535
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018032687
MO
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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