Dr SHANNON K HAILEY is a female medical professional, specializing in Physician Assistant. She graduated in 2011.
SIGNATURE MEDICAL GROUP OF KC PA
5721 W 119TH ST
MENORAH MEDICAL CENTER
OVERLAND PARK
KS
662093722
Tel: 9134986000
| Npi | 1336420561 |
| Pac Id | 0547431934 |
| Professional Enrollment Id | I20110914000835 |
| Last Name | HAILEY |
| First Name | SHANNON |
| Middle Name | K |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| Organization Legal Name | SIGNATURE MEDICAL GROUP OF KC PA |
| Group Practice Pac Id | 7618144056 |
| Number Of Group Practice Members | 63 |
| Line 1 Street Address | 5721 W 119TH ST |
| Line 2 Street Address | MENORAH MEDICAL CENTER |
| Marker Of Address Line 2 Suppression | |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 662093722 |
| Phone Number | 9134986000 |
| Hospital Affiliation Ccn 1 | 260085 |
| Hospital Affiliation Lbn 1 | ST JOSEPH MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 170182 |
| Hospital Affiliation Lbn 2 | MENORAH MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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