| Dr Shaun Lydell Kanion, DDS | |
|
520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | |
| (785) 239-7241 | |
| (785) 239-7245 |
| Full Name | Dr Shaun Lydell Kanion |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 520 Pope Avenue, Ft. Leavenworth, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942354998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0018545 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 2005015671 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shaun Lydell Kanion, DDS 4701 Canaan Lake Dr, Kansas City, KS 66109-3840 Ph: (785) 239-7241 | Dr Shaun Lydell Kanion, DDS 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 Ph: (785) 239-7241 |
Dr. Kevin Michael Madjarac, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 Phone: 785-239-7241 Fax: 785-239-7245 |