Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 00376 | KY |
NPI | 1023263712 |
---|---|
Provider Name | Dr. Shannon Renee Schnell |
First Address | Somerset, KY 42503-3428 |
Second Address | Somerset, KY 42503-3428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2008 |
Last Update Date | 09/07/2012 |