Individual
DR. KATHLEEN A SHAUGHNESSY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
HQS, U.S. ARMY DENTAL ACTIVITY, 51005 WINANS RILEY BARRACKS EAST WING, FORT HUACHUCA, AZ 85613-7040
(520) 533-3144
(520) 533-7285
Mailing address
HQS, U.S. ARMY DENTAL ACTIVITY, 51005 WINANS RILEY BARRACKS EAST WING, FORT HUACHUCA, AZ 85613-7040
(520) 533-3144
(520) 533-7285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11644
MD
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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