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Katie Lynn Shockling
Student in an Organized Health Care Education/Training Program in Canton, Ohio
NPI 1194239475

Katie Lynn Shockling is a Student in an Organized Health Care Education/Training Program based in Alliance, OH. Katie Lynn Shockling practices in Canton, OH. The NPI Number for Katie Lynn Shockling is 1194239475 and holds a License No. (Ohio).

The current practice location address for Katie Lynn Shockling is 4641 Fulton Dr Nw, Canton, OH and can be reached out via phone at 330-433-6075.

Location: 4641 Fulton Dr Nw, Canton, OH, 44601-3577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194239475
Provider Name
Katie Lynn Shockling
Credential
Provider Entity Type
Individual
Gender
Female
Address
4641 Fulton Dr Nw, Canton, OH, 44601-3577
Phone Number
330-433-6075
Fax Number
Provider Enumeration Date
11/25/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4641 Fulton Dr Nw
City
Canton
State
Ohio
Zip
44718-2384
Phone Number
330-433-6075
Fax Number
person
Provider Business Mailing Address Details
Address
4641 Fulton Dr Nw
City
Canton
State
Ohio
Zip
44718-2384
Phone Number
330-433-6075
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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