Individual
SHANE JAY ALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
332 WOODLAWN CT, LAWRENCE, KS 66049-1855
(785) 856-7870
(888) 778-9471
Mailing address
332 WOODLAWN CT, LAWRENCE, KS 66049-1855
(785) 856-7870
(888) 778-9471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KMAP
200631010C
KS
Enumeration date
06/23/2009
Last updated
12/31/2013
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