Individual
MICHAEL SHANE HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(833) 381-1943
Mailing address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(844) 244-7170
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
73902
KS
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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