Individual
KATELYN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150B STONEMARKER DR, SOMERSET, KY 42503-6287
(606) 383-0119
Mailing address
150B STONEMARKER DR, SOMERSET, KY 42503-6287
(606) 383-0119
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/26/2026
Last updated
01/28/2026
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