Individual provider · Type 1 NPI

Shaley Knickerbocker

Emergency Registered Nurse · Shawnee Mission, KS

NPI number 1962226126 Active

Practice location

9100 W 74th St
Shawnee Mission, KS 66204-4004

Mailing address

514 Flame Way
Baldwin City, KS 66006-4168

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X138424 (KS)

Emergency Registered Nurse: Definition to come...

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About NPI 1962226126

Shaley Knickerbocker's National Provider Identifier is 1962226126, issued on Nov 13, 2024. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Shawnee Mission, KS. The record was last updated on Nov 13, 2024.