Provider Demographics
NPI:1487001459
Name:GIBBONS, SHAUNA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAUNA
Middle Name:MARIE
Last Name:GIBBONS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:KUMC IM RESIDENCY PROGRAM
Mailing Address - Street 2:3901 RAINBOW BLVD. MS 2027
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-3974
Mailing Address - Fax:913-588-0593
Practice Address - Street 1:KUMC IM RESIDENCY PROGRAM
Practice Address - Street 2:3901 RAINBOW BLVD. MS 2027
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-3974
Practice Address - Fax:913-588-0593
Is Sole Proprietor?:No
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
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Provider Licenses
StateLicense IDTaxonomies
KS94-08929207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine