1041C0700X
Shawnee, KS
Specialty
1041C0700X
Credential
LSCSW, LCSW
NPI
1114365541
7405 Renner Rd., Shawnee, KS 66217
(913) 588-8411Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 1041c0700x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1041C0700X