Individual
SHANE SLETTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(608) 799-0226
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
12/14/2024
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