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Individual

SHANNON M SIKORSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1312 1ST ST, KENNETT, MO 63857-2526
(573) 717-1080
(573) 888-3046
Mailing address
PO BOX 728, KENNETT, MO 63857-0728

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013043969
MO

Other

Enumeration date
01/07/2014
Last updated
09/21/2017
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