Kentopp, Shane Douglas

Kentopp, Shane Douglas is an individual health care provider with primary practice located at 3901 Rainbow Blvd , Kansas City KS 66160-6214. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Kentopp, Shane Douglas can be contacted via phone (913) 588-5000.

Contact Information

Primary practice address
3901 Rainbow Blvd Kansas City KS 66160-6214
Phone: (913) 588-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 03250 Kansas

Profile Details

NPI number 1184056905
LBN Legal business name Kentopp, Shane Douglas
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2013
Last updated Aug 17th, 2023 - about 3 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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