Shane Connor Conklin
Shane Connor Conklin is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
750 E Adams StSyracuse, NY 13210-2306
Phone: (315) 464-4243
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1699618744 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 13, 2026 |
| Last updated in NPPES | April 13, 2026 |
| Certification date | April 13, 2026 |
| Mailing address | 105 Havenwood Dr, Cranberry Township, PA 16066-3313 |
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