Individual
KATHRYN MARIE SHANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
60728 COUNTY ROAD 27, GOSHEN, IN 46528-6638
(574) 535-3501
(260) 768-7765
Mailing address
60728 COUNTY ROAD 27, GOSHEN, IN 46528-6638
(574) 534-5315
(574) 534-5315
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
4704219087
MI
367A00000X
Advanced Practice Midwife
Primary
72000098A
IN
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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