Duke, Shelly M
Duke, Shelly M is an individual health care provider with primary practice located at 21 Corporate Woods, 10870 Benson Drive #2160 , Overland Park KS 66210. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Duke, Shelly M can be contacted via phone (833) 357-3227.Contact Information
Primary practice address
21 Corporate Woods, 10870 Benson Drive #2160
Overland Park KS 66210
Phone: (833) 357-3227
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 139284 | Missouri |
Nursing Service Providers / Registered Nurse | 163W00000X | 14-72612-121 | Kansas |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 139284 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 45319 | Kansas |
Profile Details
NPI number | 1225095060 |
---|---|
LBN Legal business name | Duke, Shelly M |
Credentials | RN, FNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2006 |
Last updated | Nov 26th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225095060 | NPPES |
Kansas | MEDICAID | 200364830A | |
Kansas | Other | 36825013 | |
Kansas | MEDICAID | 427616909 |
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