MEDICARE: DR. SHELLEY LOWMAN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2012012018	MO

General Provider Information

NPI Number	:	1134474836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELLEY LOWMAN D.C.

Provider Business Mailing Address
First Line	:	5616 NW MOONLIGHT MEADOW CT
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64064-1263
Country	:	US
Telephone Number	:	816-216-8778
Fax Number	:	816-817-3280

Provider Business Practice Location Address
First Line	:	1735 WALNUT ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-1315
Country	:	US
Telephone Number	:	816-216-8778
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2012
Last Update Date	:	11/02/2012

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