Individual
STEPHANIE MARISA SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 W 95TH ST STE 270, PRAIRIE VILLAGE, KS 66207-3300
(913) 341-4141
(913) 341-4432
Mailing address
5000 W 95TH ST STE 270, PRAIRIE VILLAGE, KS 66207-3300
(913) 341-4141
(913) 341-4432
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
61987
KS
Other
Enumeration date
01/07/2019
Last updated
06/20/2024
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