Individual
SHANNON BARKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 374-2685
Mailing address
790 N SHEA RD, SCOTTSBURG, IN 47170-8133
(812) 374-2685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28210768A
IN
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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