Shane Petersen

NPI 1427698729 · on the registry since 2020

Practice

Address: 5600 W 95th St Ste 216
Overland Park, KS 66207
Phone: (913) 602-4039
Organisation at this address: Psychdoc Llc
Dignity Hospice Inc.
Carter Davis D.D.S. P.A.
Integrative Chiropractic Group, Llc
Communication And Connection Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas