SHANE GREENE

WICHITA, KS
NPI1023391323
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: KS  23-41218-032)
Enumeration Date2011-09-22
Last Update Date2011-09-22
Business Address
-- SHANE GREENE LPN
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-992-0323
Mailing Address
-- SHANE GREENE LPN
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-992-0323
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