Individual
SHANA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1010 N. KANSAS, WCGME, WICHITA, KS 67214-8175
(316) 962-3030
Mailing address
1010 N. KANSAS, WCGME, WICHITA, KS 67214-8175
(316) 962-3030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7381
KS
Other
Enumeration date
07/27/2006
Last updated
06/08/2010
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