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Individual
SHAWNA LEANNE BIRD
Active
Individual
SHAWNA LEANNE BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007010
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107163
RN
KY
01
—
12292803
CAQH
—
05
—
7100193440
—
KY
Enumeration date
09/28/2011
Last updated
09/28/2018
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