Individual
SHANNON KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
374 S GRAND BLVD, BOX 58, SAINT LOUIS, MO 63103-2415
(850) 454-6487
Mailing address
374 S GRAND BLVD, BOX 58, SAINT LOUIS, MO 63103-2415
(850) 454-6487
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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