Individual
SHANNA KAY KLUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, NP-C
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
28215527A
IN
363L00000X
Nurse Practitioner
Primary
71009666A
IN
Other
Enumeration date
08/12/2019
Last updated
06/01/2026
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