Individual
SHANNON RENEA' CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(573) 778-4631
Mailing address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(573) 778-4631
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0439104
KS
Other
Enumeration date
06/04/2010
Last updated
08/28/2023
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