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Logan John Shetlar
Family Medicine Physician in Lyons, Kansas
NPI 1558821843

Logan John Shetlar is a Family Medicine Physician based in Lyons, KS. Logan John Shetlar practices in Lyons, KS. The NPI Number for Logan John Shetlar is 1558821843 and holds a License No. (Kansas).

The current practice location address for Logan John Shetlar is 1221 W Noble St, Lyons, KS and can be reached out via phone at 620-257-5124 and via fax at 620-257-5128. You can also correspond with Logan John Shetlar through the mailing address at 1221 W NOBLE ST, LYONS, KS - 67554-3026 (mailing address contact number: 620-257-5124).

Location: 1221 W Noble St, Lyons, KS, 67554-3026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558821843
Provider Name
Logan John Shetlar
Credential
Provider Entity Type
Individual
Gender
Male
Address
1221 W Noble St, Lyons, KS, 67554-3026
Phone Number
620-257-5124
Fax Number
620-257-5128
Provider Enumeration Date
03/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1221 W Noble St
City
Lyons
State
Kansas
Zip
67554-3026
Phone Number
620-257-5124
Fax Number
620-257-5128
person
Provider Business Mailing Address Details
Address
1221 W Noble St
City
Lyons
State
Kansas
Zip
67554-3026
Phone Number
620-257-5124
Fax Number
620-257-5128
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
04-46362 (Kansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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