Provider Demographics
NPI:1134474836
Name:LOWMAN, SHELLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:
Last Name:LOWMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5616 NW MOONLIGHT MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1263
Mailing Address - Country:US
Mailing Address - Phone:816-216-8778
Mailing Address - Fax:816-817-3280
Practice Address - Street 1:1735 WALNUT ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-1315
Practice Address - Country:US
Practice Address - Phone:816-216-8778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012012018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor