Individual
JEFFREY M SHULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
04-49700
KS
2080P0202X
Pediatric Cardiology Physician
Primary
2024029047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-49700
KANSAS STATE MEDICAL LICENSE
KS
01
—
2024029047
MISSOURI STATE MEDICAL LICENSAE
MO
Enumeration date
03/29/2018
Last updated
08/08/2024
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