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Contact Information

KATHLEEN K SHANNON, CNM
6300 ODELL RD
BELTSVILLE, MD20705-4107
 Phone: 703-801-4093
 Fax: 833-694-0324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for KATHLEEN K SHANNON · (Female)

NPI Number 1952546491
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 12/12/2008
Last updated 03/06/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • DC License # RN1014773
  • MD License # R179174
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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