Shawn Minor

NPI #1558605592 in Gardner, Kansas

Provider Information

NPI Number
1558605592
Entity Type
Individual
Name
Shawn Minor
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Nov 15, 2012
Last Updated
Nov 15, 2012

Practice Location

Address
32583 W 172ND ST
State
Kansas
ZIP Code
66030-9220
Phone
(913) 515-9719

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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