Individual
MR. SHAWN PATRICK PADGETT
Active
Individual
MR. SHAWN PATRICK PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LCP-927
KS
103TC0700X
Clinical Psychologist
Primary
927
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200429840D
—
KS
Enumeration date
01/15/2007
Last updated
06/11/2019
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