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General NPI Number Information
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NPI Number | 1437505443
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Entity Type | Individual
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Provider Name | SHAUN MICHAEL STOKES D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 05/09/2016
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Provider Practice Location Address
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Address Line | 3901 RAINBOW BLVD
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City | KANSAS CITY
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State | KS
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Zip | 66160-8500
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Country | US
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Telephone | 913-588-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2632 SEMINOLE DR
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3223
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Country | US
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Telephone | 208-406-1160
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 9408878
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License Number State | KS
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