Shannon K Bolon, MD Valid NPI

Individual provider · Family Medicine Physician · New Kensington, PA

NPI

1336278894

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

MD430353 (PA)

Sex

Female

Sole proprietor

No

Enumerated

2007-03-02

Last updated

2008-06-18