Individual
MRS. KATHLEEN MCDONALD SHANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3495 BAILEY AVE, 111C, BUFFALO, NY 14215-1129
(716) 862-7822
(716) 862-8640
Mailing address
3495 BAILEY AVE, 111C, BUFFALO, NY 14215-1129
(716) 862-7822
(716) 862-8640
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303475
NY
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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