Individual
DR. KATHLEEN BRAY SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8800 W. 75TH STREET, SUITE 220, MERRIAM, KS 66204
(913) 384-5500
(913) 384-5209
Mailing address
8800 W. 75TH STREET, SUITE 220, MERRIAM, KS 66204
(913) 384-5500
(913) 384-5209
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-19627
KS
208000000X
Pediatrics Physician
0419627
KS
208000000X
Pediatrics Physician
R9B94
MO
Other
Enumeration date
07/12/2005
Last updated
05/31/2012
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