Individual
DR. KATHERINE VIRGINIA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1461 N GARDNER ST, SCOTTSBURG, IN 47170-7751
(812) 280-7063
(812) 218-8557
Mailing address
815 RUGBY PL, LOUISVILLE, KY 40222-5619
(502) 821-3898
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01082887A
IN
Other
Enumeration date
05/16/2013
Last updated
06/30/2020
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