Individual
SHANNON KAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
574 MAIN ST STE 203, EAST AURORA, NY 14052-1751
(716) 608-3110
Mailing address
811 BIRD AVE APT 2R, BUFFALO, NY 14209-1078
(716) 536-0832
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
48007452
NY
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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