Logan John Shetlar
Logan John Shetlar is a Family Practice in Lyons, Kansas. Graduated from University of Washington School of Medicine in 2022, 4 years ago. Practices with Hospital District No 1 of Rice Co, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.
- Years since qualifying
- 4
- Trained at
- University of Washington School of Medicine
- Licensed in
- KS
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1221 W Noble StLyons, KS 67554-3026
Phone: (620) 257-5124
Fax: (620) 257-5128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 619 S Clark Ave, Lyons, KS 67554-3003 — (620) 257-5173
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 04-46362 (KS) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1558821843 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 22, 2019 |
| Last updated in NPPES | August 5, 2022 |
| Certification date | August 5, 2022 |
| Mailing address | 1221 W Noble St, Lyons, KS 67554-3026 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduated | 2022 (4 years in practice) |
| Group practice | Hospital District No 1 Of Rice Co — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |