Individual
SHANNON GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 CLAY EDWARDS DR, KANSAS CITY, MO 64116-3220
(816) 359-0962
Mailing address
717 BROADWAY BLVD, KANSAS CITY, MO 64105-2025
(573) 673-7214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021021274
MO
Other
Enumeration date
10/24/2022
Last updated
10/25/2022
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