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Individual

SHANNON M KINNAN

Active
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Individual

SHANNON M KINNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5679
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5679
TEP
NE
Enumeration date
09/07/2007
Last updated
09/07/2007
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