Individual
SHANNON R. DIEDERICH-AKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 SUNSET AVE, MANHATTAN, KS 66502-3739
(785) 532-6544
(785) 532-6627
Mailing address
1105 SUNSET AVE, MANHATTAN, KS 66502-3739
(785) 532-6544
(785) 532-6627
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-41527-102
KS
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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