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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE R KANNARR, OD

Active

SHANE R KANNARR, OD is a Optometrist healthcare provider located in PITTSBURG, Kansas. NPI 1891772489 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PITTSBURG, KS

Registration Details

NPI Number
1891772489
Provider Type
Individual
Gender
Male
NPI Issued
Dec 27, 2005 (20.608417771468 yrs)
Last Updated
May 9, 2012
Licenses
2000160785 (MO)
1699 (KS)
2544 (AR)

Practice Information

Address
2521 N BROADWAY ST
PITTSBURG, KS, 667622620
Browse KS providers · Browse ZIP 66762
Phone
6202351737
Fax
6202300358
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in PITTSBURG, KS

Name Credential NPI
DR. PAUL J NIEGSCH O.D. 1245229848
DR. BRADLEY R WIMMER O.D. 1699700807
DR. KENNETH WAYNE BROOKS O.D. 1841338696
DR. DUSTIN JAMES BROOKS 1043358716
MR. CHRISTOPHER J JACQUINOT O.D. 1003016361
DR. THOMAS C. BROOKS O.D. 1386834448
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.