Individual
SHANNON L KANEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 349-5145
Mailing address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 349-5145
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23050
OK
Other
Enumeration date
03/11/2006
Last updated
03/03/2025
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