Kanion, Shaun Lydell

Kanion, Shaun Lydell is an individual health care provider with primary practice located at 520 Pope Avenue Us Army Dental Activity, Ft. Leavenworth KS 66027. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kanion, Shaun Lydell can be contacted via phone (785) 239-7241.

Contact Information

Primary practice address
520 Pope Avenue Us Army Dental Activity Ft. Leavenworth KS 66027
Phone: (785) 239-7241
Fax: (785) 239-7245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0018545 Texas
Dental Providers / General Practice 1223G0001X 2005015671 Missouri

Profile Details

NPI number 1942354998
LBN Legal business name Kanion, Shaun Lydell
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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.

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