Keyona Shine
Internist - Addiction Medicine
2101 Silver Maple Way
Lorain
, Ohio 44053-2380
Keyona Shine
Internist - Addiction Medicine
2101 Silver Maple Way
Lorain
, Ohio 44053-2380
(440) 830-3417
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Keyona Shine
- 2101 Silver Maple Way
- Lorain, OH
- Zip : 44053-2380
- Fax : (440) 830-3417
- Phone : (440) 830-3400
Second Address
- Keyona Shine
- 2101 Silver Maple Way
- Lorain, OH
- Zip : 44053-2380
- Fax : (440) 830-3417
- Phone : (440) 830-3400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | RN436004 | OH |
National Provider Identifier
| NPI | 1790382752 |
|---|---|
| Provider Name | Keyona Shine |
| First Address | Lorain, OH 44053-2380 |
| Second Address | Lorain, OH 44053-2380 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2020 |
| Last Update Date | 02/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.