Healthcare Provider Details

I. General information

NPI: 1750413746
Provider Name (Legal Business Name): SHAWN LORENE SCHIEBER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 E RED BRIDGE RD
KANSAS CITY MO
64131-4038
US

IV. Provider business mailing address

10128 W 65TH ST
MERRIAM KS
66203-3604
US

V. Phone/Fax

Practice location:
  • Phone: 816-942-2800
  • Fax:
Mailing address:
  • Phone: 913-766-0475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number11398
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: