National Provider Identifier
Katherine M Shanahan
Katherine M Shanahan is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Williamsville, NY and a listed phone number of (716) 626-2644.
Profile Overview
- NPI
- 1346808383
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 04, 2019
- Last Updated
- June 04, 2019
Practice Location
- 5225 Sheridan Dr
- Williamsville, NY 14221-3573
Phone: (716) 626-2644
Mailing Address
- 9828 E Holland RD
- Holland, NY 14080-9502
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1346808383
- Entity Type
- Individual
- Last Name
- Shanahan
- First Name
- Katherine
- Middle Name
- M
- Mailing Street Address
- 9828 E Holland RD
- Mailing City
- Holland
- Mailing State
- NY
- Mailing ZIP Code
- 14080-9502
- Mailing Country
- US
- Mailing Phone
- (716) 880-5099
- Practice Street Address
- 5225 Sheridan Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3573
- Practice Country
- US
- Practice Phone
- (716) 626-2644
- Practice Fax
- (716) 626-2660
- Enumeration Date
- June 04, 2019
- Last Updated
- June 04, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)