Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITSUKO P. SHANNON, MD
ActiveMITSUKO P. SHANNON, MD is a Psychiatry healthcare provider located in KINGS MOUNTAIN, North Carolina. NPI 1689694374 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · KINGS MOUNTAIN, NC
Registration Details
- NPI Number
- 1689694374
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2006 (20.041853908119 yrs)
- Last Updated
- Jul 15, 2024
- Licenses
-
9300804 (NC)9300804 (NC)
Practice Information
- Address
-
706 W KING STKINGS MOUNTAIN, NC, 280862708Browse NC providers · Browse ZIP 28086
- Phone
- 9804875470
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in KINGS MOUNTAIN, NC
| Name | Credential | NPI |
|---|---|---|
| SCOTT DANIEL ADAMS | DO | 1700175890 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.