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Individual

ANN MARIE SHAUGHNESSY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
10034 W 151ST ST, OVERLAND PARK, KS 66221-9326
(913) 257-5425
Mailing address
643 SPLITLOG AVE, KANSAS CITY, KS 66101-3331
(816) 673-6933

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
14-03124
KS

Other

Enumeration date
06/01/2022
Last updated
06/01/2022
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