National Provider Identifier
Kelly Sue Shanahan
Kelly Sue Shanahan is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in East Aurora, NY and a listed phone number of (716) 240-2220.
Profile Overview
- NPI
- 1689264442
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- January 25, 2021
- Last Updated
- January 25, 2021
Practice Location
- 730 Olean RD
- East Aurora, NY 14052-9781
Phone: (716) 240-2220
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1689264442
- Entity Type
- Individual
- Last Name
- Shanahan
- First Name
- Kelly
- Middle Name
- Sue
- Mailing Street Address
- 730 Olean RD
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052-9781
- Mailing Country
- US
- Mailing Phone
- (716) 240-2220
- Mailing Fax
- (716) 714-9500
- Practice Street Address
- 730 Olean RD
- Practice City
- East Aurora
- Practice State
- NY
- Practice ZIP Code
- 14052-9781
- Practice Country
- US
- Practice Phone
- (716) 240-2220
- Practice Fax
- (716) 714-9500
- Enumeration Date
- January 25, 2021
- Last Updated
- January 25, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 25, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)