Individual
SHANE BANNON KAPPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 IRVING ST NW, DEPARTMENT OF EMERGENCY MEDICINE, WASHINGTON, DC 20010-3017
(202) 877-8080
(202) 877-7633
Mailing address
110 IRVING ST NW, DEPARTMENT OF EMERGENCY MEDICINE, WASHINGTON, DC 20010-3017
(202) 877-8080
(202) 877-7633
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD046930
DC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD046930
DC
Other
Enumeration date
05/02/2011
Last updated
07/22/2022
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