Individual
SHELLY M LYNCH
Active
Individual
SHELLY M LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1499522042
KS
363LF0000X
Family Nurse Practitioner
Primary
2010011279
MO
Other
Enumeration date
06/18/2010
Last updated
02/01/2014
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