Provider Demographics
NPI:1932113560
Name:ABENDROTH, SHAWNA L (PA)
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:L
Last Name:ABENDROTH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:818 N EMPORIA
Mailing Address - Street 2:SUITE 310
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3766
Mailing Address - Country:US
Mailing Address - Phone:316-263-5891
Mailing Address - Fax:316-263-3083
Practice Address - Street 1:818 N EMPORIA
Practice Address - Street 2:SUITE 310
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3766
Practice Address - Country:US
Practice Address - Phone:316-263-5891
Practice Address - Fax:316-263-3083
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2021-03-30
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Provider Licenses
StateLicense IDTaxonomies
KS15-01054363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical