Individual provider · Type 1 NPI

Kelly Ann Shank, NP

Adult Health Nurse Practitioner · Maumee, OH

NPI number 1922084425 Active

Practice location

3350 Briarfield Blvd Ste 300
Maumee, OH 43537-9502

Fax (419) 873-6327

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XRN261639 (OH)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1922084425

Kelly Ann Shank, NP's National Provider Identifier is 1922084425, issued on Dec 16, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Maumee, OH. The record was last updated on Sep 11, 2023.