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NPI Code Detail

MEDICARE: KATHLEEN SHEAHON MD

MEDICARE: KATHLEEN SHEAHON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianD0099518MD

General Provider Information

NPI Number : 1184112302
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN SHEAHON MD
Provider Business Mailing Address
First Line : 8719 MARBURG MANOR DR
Second Line :
City : LUTHERVILLE TIMONIUM
State : MD
Zip : 21093-4779
Country : US
Telephone Number : 816-673-8742
Fax Number :
Provider Business Practice Location Address
First Line : 301 HOSPITAL DR
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-5803
Country : US
Telephone Number : 410-787-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2018
Last Update Date : 04/08/2026

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