Individual
SHANE EVAN SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
Mailing address
5908 NE OLYMPIA ST, TOPEKA, KS 66617-1640
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
13-147046-082
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
43-558299-082
KS
Other
Enumeration date
02/17/2025
Last updated
06/19/2025
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