Shannon, Kathleen

Shannon, Kathleen is an individual health care provider with primary practice located at 940 Belmont St Va Boston Healthcare System, Brockton MA 02301-5596. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Shannon, Kathleen can be contacted via phone (508) 583-4500.

Contact Information

Primary practice address
940 Belmont St Va Boston Healthcare System Brockton MA 02301-5596
Phone: (508) 583-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 894 Massachusetts

Profile Details

NPI number 1407954357
LBN Legal business name Shannon, Kathleen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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