Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Shannon Elizabeth Klvana

Individual provider Specialist · NPI 1144565516

Miss. Shannon Elizabeth Klvana is a Specialist in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
4
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Practice location Address checks out

30 Lakewood Ave
Ronkonkoma, NY 11779-5620
Phone: (631) 379-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 435686101 (NY)
Specialist Taxonomy 174400000X · Licence 435688101 (NY)
Specialist Taxonomy 174400000X · Licence 435687101 (NY)
Specialist Taxonomy 174400000X · Licence 435685101 (NY)

Record details

NPI number1144565516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 11, 2012
Last updated in NPPESDecember 11, 2012

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