Individual
KELLY MARIE SHAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8139 BEECHMONT AVE, CINCINNATI, OH 45255-3152
(513) 474-6200
Mailing address
10460 PROGRESS WAY, HARRISON, OH 45030
(513) 845-1465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.426554
OH
Other
Enumeration date
07/02/2021
Last updated
06/10/2022
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