| NPI Details | |
|---|---|
| NPI | 1770510810 |
| Gender | Female |
| Enumeration Date | 06/26/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 19 E PIKE ST COV KY, 41011-2442, US |
|
| Phone | (859) 491-1348 |
| Fax | |
| Business Location | |
|---|---|
| 502 FARRELL DR COV KY, 41011-3717, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 104100000X |
| License State | |
| License Number | |
| Remove 1770510810 NPI Number | |
According to our database, Shannon Halll BS NPI is 1770510810, taxonomy code is 104100000X Shannon Halll BS physically located at 19 E Pike St, Cov KY, 41011-2442. NPI Number Shannon Halll BS has the Individual type.
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1770510810 NPI number is provided on an as is basis without warranty of any kind. 1770510810 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Halll BS are for informational purposes only.
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