Shannon Amy Kloosterman
Technician/Technologist
9714 Sliding Hill Rd
Ashland
, Virginia 23005-7940
Shannon Amy Kloosterman
Technician/Technologist
9714 Sliding Hill Rd
Ashland
, Virginia 23005-7940
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About
Features
Specialties
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Shannon Amy Kloosterman
- 9714 Sliding Hill Rd
- Ashland, VA
- Zip : 23005-7940
- Phone :
Second Address
- Shannon Amy Kloosterman
- 9714 Sliding Hill Rd
- Ashland, VA
- Zip : 23005-7940
- Phone : (252) 673-7736
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | 24915 | NC |
National Provider Identifier
| NPI | 1225515083 |
|---|---|
| Provider Name | Shannon Amy Kloosterman |
| First Address | Ashland, VA 23005-7940 |
| Second Address | Ashland, VA 23005-7940 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2018 |
| Last Update Date | 25/07/2018 |
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.