Individual provider · Type 1 NPI

Kathleen Shadduck

Licensed Practical Nurse · Painesville, OH

NPI number 1104287515 Active

Practice location

145 Newell St, 708
Painesville, OH 44077-1273

Mailing address

145 Newell St Apt 708
Painesville, OH 44077-1211

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN13942 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104287515

Kathleen Shadduck's National Provider Identifier is 1104287515, issued on Mar 11, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Painesville, OH. The record was last updated on Mar 11, 2016.