Individual
DR. SHANE MICHAEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
2100 W 70TH ST, MISSION HILLS, KS 66208-2718
(816) 482-7200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
05-45083
KS
2084P0800X
Psychiatry Physician
Primary
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
06/08/2026
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