IndividualActive
Shaley Knickerbocker
NPI 1962226126 · Emergency Registered Nurse · Shawnee Mission, KS
Provider details
- NPI number
- 1962226126
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 138424 (KS)
Specialties & taxonomies
Nursing Service Providers
Practice location
9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone: (913) 676-7400
Approximate (ZIP-level) locationGet directions
Mailing address
514 Flame Way
Baldwin City, KS 66006-4168
Registry dates
- Enumerated
- 2024-11-13
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.