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Individual

KATHERINE M SHANAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5225 SHERIDAN DR, WILLIAMSVILLE, NY 14221-3573
(716) 626-2644
(716) 626-2660
Mailing address
9828 E HOLLAND RD, HOLLAND, NY 14080-9502
(716) 880-5099

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
NY
363AM0700X
Medical Physician Assistant

Other

Enumeration date
06/04/2019
Last updated
06/04/2019
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