Individual
SHANNON YVETTE EVERITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 E CEDAR ST STE 102, OLATHE, KS 66062-1886
(816) 977-3178
Mailing address
622 N WINNEBAGO DR, LAKE WINNEBAGO, MO 64034-9419
(985) 710-3202
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201121410A
—
KS
Enumeration date
12/05/2022
Last updated
12/05/2022
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