Individual
SHELLY L IGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9314 E CHERISH RD, DERBY, KS 67037-9396
(316) 680-8898
Mailing address
9314 E CHERISH RD, DERBY, KS 67037-9396
(316) 680-8898
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-98566
KS
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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