Individual provider · Type 1 NPI

Katie Lynn Shockling

Student in an Organized Health Care Education/Training Program · Canton, OH

NPI number 1194239475 Active

Practice location

4641 Fulton Dr NW
Canton, OH 44718-2384

Mailing address

1723 Carriage Ln Apt 304
Alliance, OH 44601-3577

Other practice locations

  • 1207 W State St Ste G, Alliance, OH 44601-4686 · (330) 823-5335
  • 919 2nd St NE, Canton, OH 44704-1132 · (330) 454-7917

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1194239475

Katie Lynn Shockling's National Provider Identifier is 1194239475, issued on Nov 25, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canton, OH. The record was last updated on Mar 17, 2018.