Individual
MRS. KAREN LYNN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8028 RITCHIE HWY, PASADENA, MD 21122
(410) 768-8600
(410) 768-1676
Mailing address
8028 RITCHIE HWY STE 108, PASADENA, MD 21122-1020
(410) 768-8600
(410) 768-1676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C01422
MD
Other
Enumeration date
12/06/2006
Last updated
07/17/2013
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