Individual
SHAWN MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32583 W 172ND ST, GARDNER, KS 66030-9220
(913) 515-9719
(913) 938-4316
Mailing address
32583 W 172ND ST, GARDNER, KS 66030-9220
(913) 515-9719
(913) 938-4316
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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