Search › Pennsylvania › 133V00000X
Kyle Shannon
NPI 1871130591 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1130 W Broad St Ste 101
Bethlehem, PA 18018 - Phone
- (484) 554-9638
- Organisation at this address
- K.Shan Performance Llc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133VN1006X
133VN1201X
133VN1501X - Sex
- Male
- Record last updated
- 2019-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania