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Individual
AMY K SHANNON
Active
Individual
AMY K SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
34.007656CTR
OH
207V00000X
Obstetrics & Gynecology Physician
OS012796
PA
208D00000X
General Practice Physician
Primary
OS012796
PA
Other
Enumeration date
02/08/2006
Last updated
05/12/2026
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