Individual
SHANNON KNOBLAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
237 E 6TH ST, RUSSELLVILLE, KY 42276-1917
(270) 901-5000
(270) 842-5268
Mailing address
237 E 6TH ST, RUSSELLVILLE, KY 42276-1917
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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