| Doctor Name: | KATHLEEN J SHINADA |
| NPI Number: | 1063560795 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 123771 |
| Business Practice Address: | 5715 W Longridge Dr Seven Hills, OH - 441311735 |
| Business Phone Number: | 2162888403 |
| Business Fax Number: | |
| Mailing Address: | 5715 W Longridge Dr, SEVEN HILLS |
| State: | OH |
| Postal Code: | 441311735 |
| Phone Number: | 2162888403 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 05/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0600X |
| License Number: | 123771 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |