Kathleen Shadduck

NPI #1104287515 in Painesville, Ohio

Provider Information

NPI Number
1104287515
Entity Type
Individual
Name
Kathleen Shadduck
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Mar 11, 2016
Last Updated
Mar 11, 2016

Practice Location

Address
145 NEWELL ST
Address 2
708
State
Ohio
ZIP Code
44077-1273
Phone
(440) 463-4504

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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