Individual
DR. MICHAEL KEVIN SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
813 N MAIN ST, NIXA, MO 65714-9315
(417) 725-8550
(417) 725-8553
Mailing address
813 N MAIN ST, NIXA, MO 65714-9315
(417) 725-8550
(417) 725-8553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004008978
MO
Other
Enumeration date
01/02/2007
Last updated
01/09/2012
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