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Individual

DR. MELODY J. SHUBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2456 N WOODLAWN BLVD, SUITE 5C, WICHITA, KS 67220-3968
(316) 636-4444
Mailing address
2456 N WOODLAWN BLVD, SUITE 5C, WICHITA, KS 67220-3968
(316) 636-4444

Taxonomy

Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
C-3869
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55007
BLUE CROSS BLUE SHEILD
KS
Enumeration date
09/21/2006
Last updated
06/05/2015
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