Individual
STEPHANIE E PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15440 W 65TH ST, SHAWNEE, KS 66217-9306
(913) 588-6301
(913) 588-6319
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01084
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200367200A
—
KS
Enumeration date
09/20/2006
Last updated
12/10/2009
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