Individual
SHAWNA PATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13643 S MUR-LEN RD, OLATHE, KS 66062
(913) 764-3106
(913) 764-8059
Mailing address
13643 S MUR-LEN RD, OLATHE, KS 66062
(913) 764-3106
(913) 764-8059
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0441343
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201216510A
—
KS
Enumeration date
04/02/2015
Last updated
11/01/2024
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