Mr Shawn Patrick James, MS, RD, LD | |
3011 N Michigan St, Pittsburg, KS 66762-2546 | |
(888) 777-9170 | |
Not Available |
Full Name | Mr Shawn Patrick James |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | 3011 N Michigan St, Pittsburg, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770127110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 2430 (Kansas) | Primary |
Provider Name | Community Health Center Of Southeast Kansas Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163 |
Mailing Address | Practice Location Address |
---|---|
Mr Shawn Patrick James, MS, RD, LD Po Box 1832, Pittsburg, KS 66762-1832 Ph: (888) 777-9170 | Mr Shawn Patrick James, MS, RD, LD 3011 N Michigan St, Pittsburg, KS 66762-2546 Ph: (888) 777-9170 |
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