Individual
KATHRYN E SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-6683
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-6683
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
720869
IN
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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