ERICK ALLEN SHANNON

LOUISVILLE, KY
NPI1043190655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  4046188)
Enumeration Date2025-09-04
Last Update Date2025-09-11
Business Address
Mr. ERICK ALLEN SHANNON FNP-C
2746 VIRGINIA AVE
LOUISVILLE, KY 40211-3417
Phone number: 502-815-7040
Mailing Address
Mr. ERICK ALLEN SHANNON FNP-C
2746 VIRGINIA AVE
LOUISVILLE, KY 40211-3417
Phone number: 502-815-7040