Shannon Knoblauch

NPI #1194199125 in Russellville, Kentucky

Provider Information

NPI Number: 1194199125
Entity Type: Individual
Name: Shannon Knoblauch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 13, 2015
Last Updated: Nov 13, 2015

Practice Location

Address: 237 E 6TH ST
City: Russellville
State: Kentucky
ZIP Code: 42276-1917
Phone: (270) 901-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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