Individual
SHANNON BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
10810 W ATLANTA CIR, WICHITA, KS 67215-3018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
121789
KS
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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