Koehn, Shanda Renae

Koehn, Shanda Renae is an individual health care provider with primary practice located at 2601 Central Ave Suite 22, Dodge City KS 67801-6200. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Koehn, Shanda Renae can be contacted via phone (620) 227-9902.

Contact Information

Primary practice address
2601 Central Ave Suite 22 Dodge City KS 67801-6200
Phone: (620) 227-9902
Fax: (620) 227-9932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 01-04848 Kansas

Profile Details

NPI number 1730270596
LBN Legal business name Koehn, Shanda Renae
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Mar 12th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730270596 NPPES
Kansas Other P00116509 RAILROAD MC ID #
Kansas Other 062037 RAILROAD MC ID #

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