Individual
KAYLA NICOLE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5001 W 163RD TER, STILWELL, KS 66085-9385
(913) 239-5100
Mailing address
2045 W 42ND AVE, KANSAS CITY, KS 66103-3307
(785) 410-7702
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03740
KS
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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