Individual
SHONI DEBUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
620 E 23RD AVE, NORTH KANSAS CITY, MO 64116-3076
(816) 321-5313
Mailing address
2505 BLUE BIRD, ODESSA, MO 64076-5258
(816) 699-7549
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2014029477
MO
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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