Edmunds, Kathleen Shannon

Edmunds, Kathleen Shannon is an sole proprietor health care provider with primary practice located at 111 N Sepulveda Blvd Ste. 210, Manhattan Beach CA 90266-6861. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Edmunds, Kathleen Shannon can be contacted via phone (310) 379-2134.

Contact Information

Primary practice address
111 N Sepulveda Blvd Ste. 210 Manhattan Beach CA 90266-6861
Phone: (310) 379-2134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD2005-0177 New Mexico
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A101151 California

Profile Details

NPI number 1619055696
LBN Legal business name Edmunds, Kathleen Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Feb 5th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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