Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWN MINOR
Active Sole ProprietorSHAWN MINOR is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in GARDNER, Kansas. NPI 1558605592 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · GARDNER, KS
Registration Details
- NPI Number
- 1558605592
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2012 (13.778748455892 yrs)
- Last Updated
- Nov 15, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
32583 W 172ND STGARDNER, KS, 660309220Browse KS providers · Browse ZIP 66030
- Phone
- 9135159719
- Fax
- 9139384316
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.