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Individual

KATHLEEN SHANNON EDMUNDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 N SEPULVEDA BLVD, STE. 210, MANHATTAN BEACH, CA 90266-6861
(310) 379-2134
Mailing address
2138 MALCOLM AVE, LOS ANGELES, CA 90025-6306
(310) 597-0736

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A101151
CA
207P00000X
Emergency Medicine Physician
Primary
MD2005-0177
NM

Other

Enumeration date
11/01/2006
Last updated
02/05/2008
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