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Individual

DENTON SHANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO MPH

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6970
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6970

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-39959
KS
207Q00000X
Family Medicine Physician
2016027615
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477991925
MO
01
P01703882
RR MEDICARE
MO
Enumeration date
06/03/2013
Last updated
02/27/2018
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