Individual
SHANNON KAYE GILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
75 CAVALIER BLVD, SUITE 110, FLORENCE, KY 41042-3950
(859) 594-4510
(859) 594-4519
Mailing address
75 CAVALIER BLVD, SUITE 110, FLORENCE, KY 41042-3950
(859) 594-4510
(859) 594-4519
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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