Individual
SHELLEY C ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9119 W 74TH ST, SUITE 150, SHAWNEE MISSION, KS 66204-2236
(913) 362-5510
(913) 362-1139
Mailing address
PO BOX 931288, KANSAS CITY, MO 64193-0001
(913) 789-4155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00346
KS
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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