Individual
DR. SHANE MICHAEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3901 RAINBOW BLVD PSYCHIATRY AND BEHAVIORAL SCIENCES, KANSAS CITY, KS 66160-5353
(913) 588-6412
Mailing address
2100 W 70TH ST, MISSION HILLS, KS 66208-2718
(816) 482-7200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2024011910
MO
208D00000X
General Practice Physician
Primary
05-45083
KS
208D00000X
General Practice Physician
60657764
WA
208D00000X
General Practice Physician
H74875
MD
Other
Enumeration date
08/01/2011
Last updated
06/25/2024
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