Individual
SHANNON K HAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10777 NALL AVE STE 300, OVERLAND PARK, KS 66211-1330
(913) 563-6630
(913) 563-6699
Mailing address
10777 NALL AVE STE 300, OVERLAND PARK, KS 66211-1330
(913) 563-6630
(913) 563-6699
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
15-01479
KS
363AS0400X
Surgical Physician Assistant
2015010264
MO
Other
Enumeration date
09/01/2011
Last updated
10/03/2022
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