Shannon Moreland
Sports Medicine Doctor
214 4th St
Kremmling
, Colorado 80459
Shannon Moreland
Sports Medicine Doctor
214 4th St
Kremmling
, Colorado 80459
(316) 992-2505
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Shannon Moreland
- 485 Meadow Wood Cir
- Dillon, CO
- Zip : 80435-8485
- Phone : (316) 992-2505
Second Address
- Shannon Moreland
- 214 4th St
- Kremmling, CO
- Zip : 80459
- Phone : (970) 724-3442
Reviews
FAQs
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In what state does Shannon Moreland practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | PTA.0014974 | CO |
National Provider Identifier
| NPI | 1023788932 |
|---|---|
| Provider Name | Shannon Moreland |
| First Address | Dillon, CO 80435-8485 |
| Second Address | Kremmling, CO 80459 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2021 |
| Last Update Date | 14/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 104357707 | EMPLOYER (01) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.