Healthcare Provider Details

I. General information

NPI: 1376513978
Provider Name (Legal Business Name): DANIEL KEITH SHUMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 KENTUCKY ST
ASHLAND KS
67831-3199
US

IV. Provider business mailing address

PO BOX 188
ASHLAND KS
67831-0188
US

V. Phone/Fax

Practice location:
  • Phone: 620-635-2241
  • Fax:
Mailing address:
  • Phone: 620-635-2241
  • Fax: 620-635-2229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0065403
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0S1021
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM8343
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: