Individual
KATELYN MARIE SHOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 CORNWALL RD STE 201, LEBANON, PA 17042-7480
(717) 675-1780
Mailing address
311 N 4TH ST STE 1, OAKLAND, MD 21550-1371
(301) 334-7855
(301) 334-7828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27751
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K079-0010
BCBS
MD
Enumeration date
06/13/2014
Last updated
07/29/2025
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