Individual
SHANNON KROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, WHNP-BC, IBCLC
Contact information
Practice address
1101 HIGHWAY K, O FALLON, MO 63366-8431
(636) 379-6363
Mailing address
8626 N WATSON AVE, KANSAS CITY, MO 64153-3660
(402) 715-0148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2022028693
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
2024030414
MO
Other
Enumeration date
07/11/2024
Last updated
08/02/2024
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