Individual
PHILLIP P SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1969 W 21ST ST N, WICHITA, KS 67203-2106
(316) 660-7750
(316) 660-7945
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
104564
KS
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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