Individual
KATHLEEN SHONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2420 LAKE AVE, ASHTABULA, OH 44004-4954
(440) 997-2262
Mailing address
2420 LAKE AVE, ASHTABULA, OH 44004-4954
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA-17569
OH
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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