Kelly Grace Shannon

NPI #1184486086 in Rittman, Ohio

Provider Information

NPI Number: 1184486086
Entity Type: Individual
Name: Kelly Grace Shannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Jan 25, 2024
Last Updated: Jan 25, 2024

Practice Location

Address: 14664 DECOURCEY ST
City: Rittman
State: Ohio
ZIP Code: 44270-1010
Phone: (330) 398-8835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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