Individual
KATHLEEN J SHINADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
123771
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
NP-01362
OH
Other
Enumeration date
01/08/2007
Last updated
02/26/2025
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