Individual
JOHN M SHETLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 N 4TH ST, LEAVENWORTH, KS 66048-1572
(888) 381-4858
(913) 297-9628
Mailing address
1100 N 4TH ST, LEAVENWORTH, KS 66048-1572
(888) 381-4858
(913) 297-9628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0524233
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100162320E
—
KS
Enumeration date
04/19/2006
Last updated
08/24/2025
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