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KATHLEEN SHADDUCK
NPI 1104287515
Licensed Practical Nurse in Painesville, OH

Active since March 11, 2016
145 NEWELL ST, 708, PAINESVILLE, OH 44077(440) 463-4504 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Shadduck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN SHADDUCK (NPI 1104287515) is an individual licensed practical nurse in Painesville, Ohio, licensed in Ohio (PN13942) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1104287515
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKATHLEEN SHADDUCK
Location Address145 NEWELL ST, 708Painesville, OH 44077-1273
Mailing Address145 Newell St Apt 708Painesville, OH 44077-1211 · (440) 463-4504
Phone(440) 463-4504
Sole ProprietorYes
Enumeration DateMarch 11, 2016
✔ NPI 1104287515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN13942
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
145 NEWELL ST, Painesville, OH 44077
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Other Names 1

Professional Name (2)Kathleen Shadduck Lpn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Shadduck's NPI number?

The NPI number for Kathleen Shadduck is 1104287515. It was assigned to this individual provider in the NPPES registry on March 11, 2016. The provider is also known as Kathleen Shadduck Lpn.

Where is Kathleen Shadduck located?

Kathleen Shadduck practices at 145 Newell St 708, Painesville, OH 44077. The listed phone number is (440) 463-4504.

What is Kathleen Shadduck's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Shadduck was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.