Individual
JENNY R. SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2246 ORVILLE AVE, KANSAS CITY, KS 66102-4751
(913) 279-1643
Mailing address
2246 ORVILLE AVE, KANSAS CITY, KS 66102-4751
(913) 279-1643
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
K00-60-0035
KS
343900000X
Non-emergency Medical Transport (VAN)
KOO600035
KS
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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