Individual
SHANNON LINNEA PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2707 E 21ST ST N, WICHITA, KS 67214-2249
(316) 691-0249
(316) 691-9939
Mailing address
2707 E 21ST ST N, WICHITA, KS 67214-2249
(316) 691-0249
(316) 691-9939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
KS
Other
Enumeration date
06/21/2018
Last updated
03/08/2019
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