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Contact Information

SHANNON N BAISDEN, MA
6130 HODGES DR
MISSION, KS66205-3038
 Phone: 913-645-5675
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health & Wellness Coach

171400000X
 

Clinical Exercise Physiologist

224Y00000X
Indicates primary specialty

NPI Profile & details for SHANNON N BAISDEN · (Female)

NPI Number 1609542828
Status Active
Credentials MA
Entity Individual
Enumeration date 08/18/2021
Last updated 08/18/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 1180234454
  • KS License # W46011
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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