Individual
SHEELA KISHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HWY 59 S, LABETTE COUNTY MEDICAL CENTER, PARSONS, KS 67357
(620) 421-2741
Mailing address
2907 JOHNSTON ROAD, PARSONS, KS 67357-4631
(620) 421-2741
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0418936
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616470
MEDICAID FIRSTGUARD
KS
Enumeration date
09/13/2006
Last updated
07/08/2007
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